Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | TRN#18627 | FL |
N | 111NI0900X | Internist | TRN#18627 | FL |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | MED-PHYS-LIC-84628 | MT |
N | 207RC0000X | Internist - Cardiovascular Disease | MED-PHYS-LIC-84628 | MT |
NPI | 1699134775 |
---|---|
Provider Name | Juan Pablo Rodriguez-Escudero |
First Address | Miami, FL 33131 |
Second Address | Miami Beach, FL 33140-2948 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2016 |
Last Update Date | 31/08/2020 |