Provider Demographics
NPI:1457688434
Name:MIGUEL I. RODRIGUEZ-MAY,MD,P.A.
Entity Type:Organization
Organization Name:MIGUEL I. RODRIGUEZ-MAY,MD,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:IGNACIO
Authorized Official - Last Name:RODRIGUEZ-MAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-567-3016
Mailing Address - Street 1:3970 W FLAGLER ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-1642
Mailing Address - Country:US
Mailing Address - Phone:305-567-3016
Mailing Address - Fax:305-567-3018
Practice Address - Street 1:3970 W FLAGLER ST
Practice Address - Street 2:SUITE 204
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-1642
Practice Address - Country:US
Practice Address - Phone:305-567-3016
Practice Address - Fax:305-567-3018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-11
Last Update Date:2009-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0049132174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL355406201OtherMEDIPASS
FL355406201OtherMEDIPASS