Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 37726 | FL |
N | 207Q00000X | Family Doctor | 37726 | FL |
N | 207QG0300X | Family Doctor - Geriatric Medicine | 37726 | FL |
NPI | 1053360867 |
---|---|
Provider Name | Rodolfo Zacarias Schneer |
First Address | Miami, FL 33233-1920 |
Second Address | Miami, FL 33133-4253 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2006 |
Last Update Date | 11/09/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
84706740014 | PHYSICIAN # (01) | |
AS7805851 | DEA # (01) | |
B96472 | (02) | FL |