Provider Demographics
NPI:1780629725
Name:RODRIGUEZ, ALBERT IGNACIO (MD)
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:IGNACIO
Last Name:RODRIGUEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2828 S SEACREST BLVD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33435-7944
Mailing Address - Country:US
Mailing Address - Phone:561-369-7644
Mailing Address - Fax:561-369-3471
Practice Address - Street 1:2828 S SEACREST BLVD
Practice Address - Street 2:SUITE 210
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-7944
Practice Address - Country:US
Practice Address - Phone:561-369-7644
Practice Address - Fax:561-369-3471
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2015-04-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME62405207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
F90048Medicare UPIN
FL26154ZMedicare ID - Type Unspecified