Provider Demographics
NPI:1245276120
Name:BINKER, RODOLFO SR (MD)
Entity type:Individual
Prefix:DR
First Name:RODOLFO
Middle Name:
Last Name:BINKER
Suffix:SR
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:RODOLFO
Other - Middle Name:
Other - Last Name:BINKER
Other - Suffix:SR
Other - Last Name Type:Professional Name
Other - Credentials:MD
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
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-21
Last Update Date:2011-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL50156208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD20804Medicare UPIN
FL02896Medicare ID - Type Unspecified