Provider Demographics
NPI:1275825127
Name:RODRIGUEZ, MARIA D
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:D
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8305 HAMMOCKS BLVD APT 5203
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-4171
Mailing Address - Country:US
Mailing Address - Phone:786-515-8625
Mailing Address - Fax:
Practice Address - Street 1:8901 SW 157TH AVE UNIT 12
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33196-1157
Practice Address - Country:US
Practice Address - Phone:786-558-9592
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-11
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN20343122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist