Provider Demographics
NPI:1275723991
Name:RODRIGUEZ SIGUENAS, OSCAR HERNAN (MD)
Entity Type:Individual
Prefix:
First Name:OSCAR
Middle Name:HERNAN
Last Name:RODRIGUEZ SIGUENAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:OSCAR
Other - Middle Name:HERNAN
Other - Last Name:RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 62707
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33906-2707
Mailing Address - Country:US
Mailing Address - Phone:239-931-3440
Mailing Address - Fax:239-931-3458
Practice Address - Street 1:1400 COLONIAL BLVD STE 203
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-1069
Practice Address - Country:US
Practice Address - Phone:239-931-3440
Practice Address - Fax:239-931-3458
Is Sole Proprietor?:No
Enumeration Date:2007-07-30
Last Update Date:2016-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME108960208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL003386900Medicaid