MEDICARE: DANIELA CAMACHO RODRIGUEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2355S0801X	Speech-Language Assistant

General Provider Information

NPI Number	:	1598694747
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELA CAMACHO RODRIGUEZ

Provider Business Mailing Address
First Line	:	8051 LAGOS DE CAMPO BLVD
Second Line	:
City	:	TAMARAC
State	:	FL
Zip	:	33321-3861
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2225 N COMMERCE PKWY STE 6
Second Line	:
City	:	WESTON
State	:	FL
Zip	:	33326-3240
Country	:	US
Telephone Number	:	786-601-2042
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/14/2026
Last Update Date	:	05/14/2026

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Directions to “ DANIELA CAMACHO RODRIGUEZ ” Practice Location

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