Provider Demographics
NPI:1225867740
Name:RODRIGUEZ, BELINDA BEATRIZ (DMD)
Entity type:Individual
Prefix:
First Name:BELINDA
Middle Name:BEATRIZ
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 441649
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-1649
Mailing Address - Country:US
Mailing Address - Phone:786-390-3443
Mailing Address - Fax:
Practice Address - Street 1:13762 SW 8TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33184-3030
Practice Address - Country:US
Practice Address - Phone:786-460-1127
Practice Address - Fax:305-697-9785
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-01
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN29437122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist