De La Matta Rodriguez, Claudia Patricia

De La Matta Rodriguez, Claudia Patricia is an individual health care provider with primary practice located at 5647 Hollywood Blvd , Hollywood FL 33021-6325. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. De La Matta Rodriguez, Claudia Patricia can be contacted via phone (954) 276-1616.

Contact Information

Primary practice address
5647 Hollywood Blvd Hollywood FL 33021-6325
Fax: (954) 985-6186
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 154984 Florida

Profile Details

NPI number 1710409255
LBN Legal business name De La Matta Rodriguez, Claudia Patricia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2017
Last updated Feb 14th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710409255 NPPES
Florida MEDICAID 114869700

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