Daniela Rodriguez MD PLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

4301080695 Issued in MI

Legal business name

DANIELA RODRIGUEZ MD PLC

Practice address

21727 Greater Mack Ave
St Clair Shores, MI 48080-2418

Phone

(586) 777-7260

Fax

(586) 777-7265

NPI assigned

Jun 15, 2006

Organization subpart

No

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

Authorized official

Name

Daniela Rodriguez, MDNPI 1215939673

Title

Owner/Physician

Phone

(586) 777-7260

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniela Maria Rodriguez

  • Plastic Surgery Physician
  • Saint Clair Shores, MI
  • NPI 1215939673
  Medicare reassignment NPD Authorized official
• Francisco J Rodriguez, MD, P.C.

  • Vascular Surgery Physician
  • Roseville, MI
  • NPI 1376592691
  NPD (past)
• Joyce K Vaclav, DO

  • Infectious Disease Physician
  • Grosse Ile, MI
  • NPI 1588664874
  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1780628511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21727 GREATER MACK AVE",
            "city": "ST CLAIR SHORES",
            "state": "MI",
            "postal_code": "480802418",
            "telephone_number": "586-777-7260",
            "fax_number": "586-777-7265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21727 GREATER MACK AVE",
            "city": "ST CLAIR SHORES",
            "state": "MI",
            "postal_code": "480802418",
            "telephone_number": "586-777-7260",
            "fax_number": "586-777-7265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIELA RODRIGUEZ MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "DANIELA",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "586-777-7260",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "MI",
            "license": "4301080695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROCARE",
            "identifier": "821910",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "14700",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES",
            "identifier": "141579",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "H61010",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "00421",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE6319",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBC BCN",
            "identifier": "2405016902",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLAN OF MI",
            "identifier": "35715",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edouard R. Daher, M.D.
• Sandra L Daily, R.PH.
• Farzad Daneshvar, PHARMD
• Satyajit Daniel, MD
• Theodore A Daniel Jr., MD
• Kent Darcie, LLPC
• Taylor Darden
• Colton Darrow
• Sailaja Datla, MD
• Danielle Adelaida Daughtry

• Plastic Surgery Physician in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Plastic Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.