Provider Demographics
NPI:1891875191
Name:RODOLFO BINKER MD PA
Entity Type:Organization
Organization Name:RODOLFO BINKER MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RODOLFO
Authorized Official - Middle Name:
Authorized Official - Last Name:BINKER
Authorized Official - Suffix:SR
Authorized Official - Credentials:MD
Authorized Official - Phone:305-266-0006
Mailing Address - Street 1:6700 SW 21ST ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-1734
Mailing Address - Country:US
Mailing Address - Phone:305-266-0006
Mailing Address - Fax:305-261-8004
Practice Address - Street 1:6700 SW 21ST ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-1734
Practice Address - Country:US
Practice Address - Phone:305-266-0006
Practice Address - Fax:305-261-8004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2011-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME50156207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD20804Medicare UPIN