Provider Demographics
NPI:1851620975
Name:RODRIGUEZ, ZOE ELINA (DDS)
Entity Type:Individual
Prefix:MRS
First Name:ZOE
Middle Name:ELINA
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1250 SW 27TH AVE
Mailing Address - Street 2:SUITE 206
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-4741
Mailing Address - Country:US
Mailing Address - Phone:305-649-2231
Mailing Address - Fax:
Practice Address - Street 1:1250 SW 27TH AVE
Practice Address - Street 2:SUITE 206
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-4741
Practice Address - Country:US
Practice Address - Phone:305-649-2231
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-19
Last Update Date:2009-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 64371223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice