Souza, Rodrigo Garcia

Souza, Rodrigo Garcia is an individual health care provider with primary practice located at 750 E 25Th St , Hialeah FL 33013-3817. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Souza, Rodrigo Garcia can be contacted via phone (305) 694-5400.

Contact Information

Primary practice address
750 E 25Th St Hialeah FL 33013-3817
Phone: (305) 694-5400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Dentist 122300000X 19606 Florida

Profile Details

NPI number 1891958146
LBN Legal business name Souza, Rodrigo Garcia
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2008
Last updated Oct 2nd, 2013 - about 11 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 1891958146 NPPES
Florida MEDICAID 007319500

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