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Provider Information for 1699194092

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

VICTOR RODRIGUEZ DDS, CAGS

Gender: MALE

Individual NPI: 1699194092

Calendar   Last Updated:  2020-03-24
  Certification Date:  2020-03-24

Details

Name Value
NPI 1699194092
Enumeration Date 2014-04-14
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 2000 NW 87TH AVE STE 215
DORAL, FL 33172-2657
United States

Phone: 786-953-6550 | Fax: 786-431-5918
View Map External Link
Primary Practice Address 2000 NW 87TH AVE STE 215
DORAL, FL 33172-2657
United States

Phone: 786-953-6550 | Fax: 786-431-5918
View Map External Link
Secondary Practice Address 7900 NW 27TH AVE STE 275
MIAMI, FL 33147-4909
United States

Phone: 305-693-7988 | Fax:
View Map External Link

Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist FL DN21843
No 261QM1300X - Clinic/Center Multi-Specialty FL DN21843