Provider Demographics
NPI:1740545292
Name:SAAVEDRA RODRIGUEZ, DAISY (MD)
Entity type:Individual
Prefix:DR
First Name:DAISY
Middle Name:
Last Name:SAAVEDRA RODRIGUEZ
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 1:14750 NW 77TH CT STE 100
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016-1507
Mailing Address - Country:US
Mailing Address - Phone:786-758-3165
Mailing Address - Fax:
Practice Address - Street 1:4700 N HABANA AVE STE 403
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-7119
Practice Address - Country:US
Practice Address - Phone:813-876-9553
Practice Address - Fax:813-877-4109
Is Sole Proprietor?:No
Enumeration Date:2012-07-11
Last Update Date:2022-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME122407207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL015141800Medicaid
FL150W2OtherBCBS