Provider Demographics
NPI:1720010796
Name:RODRIGUEZ, ALLAN E (MD)
Entity type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:E
Last Name:RODRIGUEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1120 NW 14TH ST STE 856
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-2107
Mailing Address - Country:US
Mailing Address - Phone:305-243-3011
Mailing Address - Fax:305-243-4728
Practice Address - Street 1:1120 NW 14TH ST STE 856
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-2107
Practice Address - Country:US
Practice Address - Phone:305-243-3011
Practice Address - Fax:305-243-4728
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME60409207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL100354400Medicaid
FL0587621-00Medicaid
F24870Medicare UPIN