Dr. Ivan David Rodriguez, D.O.
Family Medicine in Hialeah, FL. Individual provider (NPI-1).
NPI number1649292012
StatusActive
Last updated in NPPESJul 9, 2014
Details
- NPI
- 1649292012
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ivan David Rodriguez
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 24, 2006
- Last updated
- Jul 9, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | OS7908 | FL | Yes |
Practice location
7100 W 20th AveSuite 504
Hialeah, FL 33016-1897
Phone 305-827-3330 · Fax 305-824-4699
Mailing address
7777 Nw 167th TerMiami Lakes, FL 33016-8452
Phone 305-824-0706
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