Provider Demographics
NPI:1235179706
Name:RODRIGUEZ, GERMAINE (MD)
Entity Type:Individual
Prefix:DR
First Name:GERMAINE
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:GERMAINE
Other - Middle Name:
Other - Last Name:RODRIGUEZ-FERRER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:81 N HIBISCUS DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139-5117
Mailing Address - Country:US
Mailing Address - Phone:786-553-4510
Mailing Address - Fax:305-722-3625
Practice Address - Street 1:90 ALTON RD PH 33130
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139-6707
Practice Address - Country:US
Practice Address - Phone:305-532-4510
Practice Address - Fax:305-722-3625
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-06
Last Update Date:2019-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME708932085R0202X, 2085B0100X, 2085U0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody Imaging
No2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL268922700Medicaid
FLME70893OtherFL MEDICAL LICENSE NO
FL43944BOtherMEDICARE
FL43944OtherBC BS OF FL PROVIDER NO
FLME70893OtherFL MEDICAL LICENSE NO