Provider Demographics
NPI:1821157850
Name:RODRIGUEZ-CEJAS, MARIA A (DMD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:A
Last Name:RODRIGUEZ-CEJAS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:MARIA
Other - Middle Name:DE LOS ANGELES
Other - Last Name:RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:36 WESTWARD DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33166-5256
Mailing Address - Country:US
Mailing Address - Phone:305-606-7555
Mailing Address - Fax:305-885-7266
Practice Address - Street 1:36 WESTWARD DR
Practice Address - Street 2:
Practice Address - City:MIAMI SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33166-5256
Practice Address - Country:US
Practice Address - Phone:305-606-7555
Practice Address - Fax:305-885-7266
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL113521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice