Provider Demographics
NPI:1356343057
Name:RODRIGUEZ-IZNAGA, CLARA SILVERIA (MD)
Entity type:Individual
Prefix:
First Name:CLARA
Middle Name:SILVERIA
Last Name:RODRIGUEZ-IZNAGA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1881 WASHINGTON AVE
Mailing Address - Street 2:#7H
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139-7408
Mailing Address - Country:US
Mailing Address - Phone:305-984-8382
Mailing Address - Fax:305-535-1716
Practice Address - Street 1:4367 W SUNRISE BLVD
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33313-6749
Practice Address - Country:US
Practice Address - Phone:954-306-3603
Practice Address - Fax:954-306-3604
Is Sole Proprietor?:No
Enumeration Date:2005-08-11
Last Update Date:2009-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME060941207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLF02379Medicare UPIN