Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | 16413 | FL |
NPI | 1083835144 |
---|---|
Provider Name | Dr. Jesus Ramon Rodriguez |
First Address | Hialeah, FL 33016-5532 |
Second Address | Hialeah, FL 33016-5532 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2007 |
Last Update Date | 08/07/2007 |