Provider Demographics
NPI:1275651606
Name:RODRIGUEZ, ISABEL (MD)
Entity Type:Individual
Prefix:MRS
First Name:ISABEL
Middle Name:
Last Name: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 1:750 NW 43RD AVE
Mailing Address - Street 2:APT #108
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-3580
Mailing Address - Country:US
Mailing Address - Phone:305-446-6396
Mailing Address - Fax:
Practice Address - Street 1:750 NW 43RD AVE
Practice Address - Street 2:APT #108
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-3580
Practice Address - Country:US
Practice Address - Phone:305-446-6396
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL28526207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine