Rodriguez, Wanda

Rodriguez, Wanda is an sole proprietor health care provider with primary practice located at 3084 Ne 41St Ter , Homestead FL 33033-6619. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Rodriguez, Wanda can be contacted via phone (305) 245-8050.

Contact Information

Primary practice address
3084 Ne 41St Ter Homestead FL 33033-6619
Phone: (305) 245-8050
Fax: (305) 245-5950
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 276519 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME147428 Florida

Profile Details

NPI number 1750781936
LBN Legal business name Rodriguez, Wanda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 2014
Last updated Dec 13th, 2021 - about 5 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 1750781936 NPPES
Florida MEDICAID 112554200

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