| Vicente A Rodriguez, MD | |
|
1 Ne 167th St, North Miami Beach, FL 33162-3402 | |
| (305) 432-9565 | |
| (305) 432-9567 |
| Full Name | Vicente A Rodriguez |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 1 Ne 167th St, North Miami Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598868903 | NPI | - | NPPES |
| 062015700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ME54106 (Florida) | Primary |
| Entity Name | Medway Medical Centers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669063475 PECOS PAC ID: 1850795154 Enrollment ID: O20210809002993 |
| Entity Name | Medway Medical Centers Of Clearwater Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962192716 PECOS PAC ID: 7416496914 Enrollment ID: O20240828003445 |
| Mailing Address | Practice Location Address |
|---|---|
| Vicente A Rodriguez, MD 1 Ne 167th St, North Miami Beach, FL 33162-3402 Ph: (305) 432-9565 | Vicente A Rodriguez, MD 1 Ne 167th St, North Miami Beach, FL 33162-3402 Ph: (305) 432-9565 |
Alice W Hernandez-bem, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 1701 Ne 164th St, North Miami Beach, FL 33162 Phone: 305-949-2000 | |
Dr. Henry Lora, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 951 Ne 167th St, Suite 102, North Miami Beach, FL 33162 Phone: 305-944-1122 Fax: 305-944-1133 | |
Dr. Dania Gomez, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 1648 Ne 163rd St, North Miami Beach, FL 33162 Phone: 305-949-2000 Fax: 305-957-1166 |