Pedro E Rodriguez

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN0012781 Issued in FL

Legal business name

PEDRO E RODRIGUEZ

Practice address

4629 NW 199TH St
Miami Gardens, FL 33055-1508

Phone

(305) 625-9411

Fax

(305) 625-9410

NPI assigned

Apr 19, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Pedro E Rodriguez, DDS PANPI 1104047489

Title

General Dentist

Phone

(305) 625-9411

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pedro E Rodriguez

  • General Practice Dentistry
  • Carol City, FL
  • NPI 1104047489
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1710104724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4629 NW 199 STREET",
            "city": "MIAMIGARDENS",
            "state": "FL",
            "postal_code": "33055",
            "telephone_number": "305-625-9411",
            "fax_number": "305-625-9410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4629 NW 199TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330551508",
            "telephone_number": "305-625-9411",
            "fax_number": "305-625-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDRO E RODRIGUEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "305-625-9411",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS PA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0012781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peace Home Care Inc
• Peaceful Gardens, LLC
• Sheere Ann Pearson
• Pediatric Dental Center of Gardens Inc
• Pediatric Geriatric Communications Disorders, Inc
• Yuliette Pedroso
• Ivon Pelaez
• Suney Hortensia Pena Corrales
• Beatriz Pena
• Camila Franchesca Pena

• General Practice Dentistry in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.