| Mauricio Enrique Rodriguez, MD | |
|
5088 Nw 74th Ave, Miami, FL 33166-5551 | |
| (786) 509-8350 | |
| (786) 633-3688 |
| Full Name | Mauricio Enrique Rodriguez |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 5088 Nw 74th Ave, Miami, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568860419 | NPI | - | NPPES |
| 017067100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | ME129741 (Florida) | Primary |
| Entity Name | South County Mental Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033167721 PECOS PAC ID: 0648173484 Enrollment ID: O20040129000755 |
| Mailing Address | Practice Location Address |
|---|---|
| Mauricio Enrique Rodriguez, MD 2813 Executive Park Dr Ste 126, Weston, FL 33331-3603 Ph: (954) 247-1557 | Mauricio Enrique Rodriguez, MD 5088 Nw 74th Ave, Miami, FL 33166-5551 Ph: (786) 509-8350 |
Dr. Barry M. Glassman, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2451 Ne 199th St, Miami, FL 33180 Phone: 305-932-7403 Fax: 305-935-3725 | |
Dr. Daniel Maass, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1120 Nw 14th St, Miami, FL 33136 Phone: 305-245-2301 | |
Silvia R Delgado, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1120 Nw 14th St, Suite 1323 13th Floor, Miami, FL 33136 Phone: 305-243-2279 | |
Walter G Bradley, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1475 Nw 12th Ave, Box 016960 M851, Miami, FL 33136 Phone: 305-243-7520 | |
Dr. Vivian Del Carmen Cuevas, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1321 Nw 13th St, Miami, FL 33125 Phone: 786-263-4137 | |
Dr. Douglas Mckay Wallace, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1201 Nw 16th St, Miami Va Medical Center, Dept Of Neurology, Miami, FL 33125 Phone: 305-575-7000 | |
Dr. Edmi Yadelis Cortes Torres, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1295 Nw 14th St, 2nd Floor, Suite E, Miami, FL 33125 Phone: 305-689-1352 Fax: 305-689-1356 |