Provider Demographics
NPI:1114900404
Name:NAVARRO-RODRIGUEZ, OLGA E (MD)
Entity Type:Individual
Prefix:DR
First Name:OLGA
Middle Name:E
Last Name:NAVARRO-RODRIGUEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6465 SW 8TH ST
Mailing Address - Street 2:
Mailing Address - City:WEST MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-4843
Mailing Address - Country:US
Mailing Address - Phone:305-223-0008
Mailing Address - Fax:305-269-5142
Practice Address - Street 1:6465 SW 8TH ST
Practice Address - Street 2:
Practice Address - City:WEST MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-4843
Practice Address - Country:US
Practice Address - Phone:305-269-5141
Practice Address - Fax:305-269-5142
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0071853174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL32490AMedicare ID - Type Unspecified
FLG36558Medicare UPIN