Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IVELISS RODRIGUEZ, DMD
ActiveIVELISS RODRIGUEZ, DMD is a Periodontology healthcare provider located in SUNRISE, Florida. NPI 1962971200 is currently active in the NPPES registry. Verify at CMS.
Periodontology · SUNRISE, FL
Registration Details
- NPI Number
- 1962971200
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 15, 2018 (7.791188010025 yrs)
- Last Updated
- Jul 7, 2020
- Licenses
-
DN23099 (FL)DN23099 (FL)
Practice Information
- Address
-
12801 W SUNRISE BLVD # F222SUNRISE, FL, 333234020Browse FL providers · Browse ZIP 33323
- Phone
- 9548467171
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- Periodontology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.