Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | ME57350 | FL |
Y | 207RI0011X | Interventional Cardiology | ME57350 | FL |
NPI | 1003800632 |
---|---|
Provider Name | Dr. Arsenio R Rodriguez |
First Address | Orlando, FL 32803-4504 |
Second Address | Orlando, FL 32803-4504 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/09/2005 |
Last Update Date | 13/03/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E51909 | (02) |