Provider Demographics
NPI:1679851976
Name:RODRIGO BELALCAZAR MD PLLC
Entity Type:Organization
Organization Name:RODRIGO BELALCAZAR MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RODRIGO
Authorized Official - Middle Name:
Authorized Official - Last Name:BELALCAZAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-596-1717
Mailing Address - Street 1:2196 SW 166TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-4444
Mailing Address - Country:US
Mailing Address - Phone:305-596-1717
Mailing Address - Fax:305-595-5171
Practice Address - Street 1:9000 SW 87TH CT
Practice Address - Street 2:SUITE 207
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2231
Practice Address - Country:US
Practice Address - Phone:305-596-1717
Practice Address - Fax:305-595-5171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-03
Last Update Date:2011-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty