Rodriguez, Sergio Max

Rodriguez, Sergio Max is an individual health care provider with primary practice located at 777 E 25 St Ste 210, Hialeah FL 33013. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Rodriguez, Sergio Max can be contacted via phone (305) 691-3505.

Contact Information

Primary practice address
777 E 25 St Ste 210 Hialeah FL 33013
Fax: (305) 691-4104
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME0058313 Florida

Profile Details

NPI number 1013941848
LBN Legal business name Rodriguez, Sergio Max
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jul 8th, 2007 - about 18 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 1013941848 NPPES
Florida MEDICAID 059599300

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