Provider Demographics
NPI:1093102576
Name:RODRIGUEZ ARAGON, MAIBYS (MD)
Entity type:Individual
Prefix:
First Name:MAIBYS
Middle Name:
Last Name:RODRIGUEZ ARAGON
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15495 EAGLE NEST LN STE 100
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-2242
Mailing Address - Country:US
Mailing Address - Phone:305-556-0021
Mailing Address - Fax:305-556-0071
Practice Address - Street 1:15495 EAGLE NEST LN STE 100
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2242
Practice Address - Country:US
Practice Address - Phone:305-556-0021
Practice Address - Fax:305-556-0071
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-22
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME130653207R00000X
282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No282N00000XHospitalsGeneral Acute Care Hospital