MEDICARE: MR. TONIELL RODRIGUEZ ARNP

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	363LF0000X	Family Nurse Practitioner	APRN11006771	FL
2	163W00000X	Registered Nurse	RN9312352	FL

General Provider Information

NPI Number	:	1710587878
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. TONIELL RODRIGUEZ ARNP

Provider Business Mailing Address
First Line	:	11210 SW 61ST TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33173-1024
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11210 SW 61ST TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33173-1024
Country	:	US
Telephone Number	:	786-247-2677
Fax Number	:

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

Provider Enumeration Date	:	10/28/2020
Last Update Date	:	05/14/2026

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