Ivan D Rodriguez D O P A

LBN: Ivan D Rodriguez D O P A
Ivan D Rodriguez D O P A is an health care organization with primary practice located at 7100 W 20Th Ave Suite 504, Hialeah FL 33016-1897. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as the primary health care specialty. Ivan D Rodriguez D O P A can be contacted via phone (305) 827-3330, or through Rodriguez, Ivan D via phone (305) 824-0706.

Contact Information

Primary practice address
7100 W 20Th Ave Suite 504 Hialeah FL 33016-1897
Phone: (305) 827-3330
Fax: (305) 824-4699
Website:
Map and Directions
Authorized official contact:
Name: Rodriguez, Ivan D Doctor of Osteopathy (DO)
Phone: (305) 824-0706

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X OS7908 Florida

Profile Details

NPI number 1376625780
LBN Legal business name Ivan D Rodriguez D O P A
DBA Doing business as
Authorized official Rodriguez, Ivan D Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2006
Last updated Dec 3rd, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376625780 NPPES
Florida MEDICAID 267179400

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