Provider Demographics
NPI:1376936799
Name:RODRIGUEZ, BLANCA ZOE (MD)
Entity Type:Individual
Prefix:DR
First Name:BLANCA
Middle Name:ZOE
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 1:8101 SW 72ND AVE APT 413W
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-7616
Mailing Address - Country:US
Mailing Address - Phone:516-643-6409
Mailing Address - Fax:
Practice Address - Street 1:5521 SW 8TH ST
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-2219
Practice Address - Country:US
Practice Address - Phone:305-685-5688
Practice Address - Fax:305-554-8288
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-10
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLACN636208D00000X
FLME158200207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice