Rodriguez, Maria Dolores

Rodriguez, Maria Dolores is an individual health care provider with primary practice located at 11811 Guy R Brewer Blvd , Jamaica NY 11434-2101. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Rodriguez, Maria Dolores can be contacted via phone (718) 945-7150.

Contact Information

Primary practice address
11811 Guy R Brewer Blvd Jamaica NY 11434-2101
Phone: (718) 945-7150
Fax: (718) 945-2596
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 131390 New York

Profile Details

NPI number 1598865149
LBN Legal business name Rodriguez, Maria Dolores
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2006
Last updated May 30th, 2012 - about 14 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 1598865149 NPPES
New York MEDICAID 00382247

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