| Rodolfo A. Chirinos, M.d., P.a. | |
|
7050 Nw 4th St #302 Plantation FL 33317-2247 | |
| (954) 587-0257 | |
| (954) 587-0390 |
| Full Name | Rodolfo A. Chirinos, M.d., P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 7050 Nw 4th St, Plantation, Florida |
| Authorized Official Name and Position | Otilia Chirinos (OFFICE MANAGER) |
| Authorized Official Contact | 9545870257 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rodolfo A. Chirinos, M.d., P.a. 7050 Nw 4th St #302 Plantation FL 33317-2247 Ph: (954) 587-0257 | Rodolfo A. Chirinos, M.d., P.a. 7050 Nw 4th St #302 Plantation FL 33317-2247 Ph: (954) 587-0257 |
| NPI Number | 1144590316 |
|---|---|
| Provider Enumeration Date | 01/05/2012 |
| Last Update Date | 01/05/2012 |
| Medicare PECOS PAC ID | 0547437501 |
|---|---|
| Medicare Enrollment ID | O20120117000321 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144590316 | NPI | - | NPPES |
| 057489900 | Medicaid | FL | |
| 93309 | Other | FL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME0026857 (Florida) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | ME0026857 (Florida) | Primary |
| Provider Name | Rodolfo A Chirinos |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346201605 PECOS PAC ID: 2062689920 Enrollment ID: I20120117000473 |
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