Rodriguez, Roxana

Rodriguez, Roxana is an individual health care provider with primary practice located at 4240 W 16Th Ave , Hialeah FL 33012-7624. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Rodriguez, Roxana can be contacted via phone (305) 823-1882.

Contact Information

Primary practice address
4240 W 16Th Ave Hialeah FL 33012-7624
Phone: (305) 823-1882
Fax: (305) 819-0275
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN17094 Florida

Profile Details

NPI number 1336263912
LBN Legal business name Rodriguez, Roxana
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2007
Last updated Jul 8th, 2007 - about 17 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 1336263912 NPPES
Florida MEDICAID 01760935001

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