Daniela M Rodriguez


Address: 21727 Greater Mack Ave, Saint Clair Shores, MI 48080-2418

Daniela M Rodriguez (NPI# 1215939673, PAC ID# 5698790012) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.

Physician Overview

Nation Provider ID (NPI) 1215939673
PAC ID by PECOS 5698790012
Professional Enrollment ID I20051014000111
Full Name Daniela M Rodriguez
Address 21727 Greater Mack Ave
Saint Clair Shores
MI 48080-2418
Gender F
Credential MD
Medical School CHICAGO COLLEGE OF MEDICINE AND SURGERY
Graduation Year 1997
Primary Specialty PLASTIC AND RECONSTRUCTIVE SURGERY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
230165 ST JOHN HOSPITAL AND MEDICAL CENTER
230089 WILLIAM BEAUMONT HOSPITAL-GROSSE POINTE

Other Locations

Address Phone Organization
22101 Moross Rd, Detroit, MI 48236-2148
468 Cadieux Rd, Grosse Pointe, MI 48230-1507
21727 Greater Mack Ave, Saint Clair Shores, MI 48080-2418

Organization Information

Office Location

Street Address 21727 GREATER MACK AVE
City SAINT CLAIR SHORES
State MI
Zip 48080-2418

Physicians in the same zip code

Name Specialty Organization Address
Wontika R Smith Obstetrics/gynecology St Clair Shores Obstetrics and Gynecolgy, Plc 19714 E 10 Mile Rd, St Clair Shores, MI 48080-1064
Constantine Sam Raphtis Obstetrics/gynecology St Clair Shores Obstetrics and Gynecolgy, Plc 19714 E 10 Mile Rd, St Clair Shores, MI 48080-1064
Michelle A Konieczny Obstetrics/gynecology St Clair Shores Obstetrics and Gynecolgy, Plc 19714 E 10 Mile Rd, St Clair Shores, MI 48080-1064
Anne B Mccarren Obstetrics/gynecology St Clair Shores Obstetrics and Gynecolgy, Plc 19714 E 10 Mile Rd, St Clair Shores, MI 48080-1064
Jennifer G Kuzel Obstetrics/gynecology St Clair Shores Obstetrics and Gynecolgy, Plc 19714 E 10 Mile Rd, St Clair Shores, MI 48080-1064
Kami Kveton Obstetrics/gynecology St Clair Shores Obstetrics and Gynecolgy, Plc 19714 E 10 Mile Rd, St Clair Shores, MI 48080-1064
Zaid Riyadh Kasmikha Internal Medicine Eastlake Cardiovascular PC 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151
George B Ghanem Cardiovascular Disease (cardiology) Eastlake Cardiovascular PC 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151
Joan S Crawford Cardiovascular Disease (cardiology) Eastlake Cardiovascular PC 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151
Simone N Cowan Cardiovascular Disease (cardiology) Eastlake Cardiovascular PC 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151
Find all physicians in zip 48080

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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