MEDICARE: REINA ANTONIA RODRIGUEZ CRT

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	2278C0205X	Critical Care Certified Respiratory Therapist	TT 5233	FL

General Provider Information

NPI Number	:	1821119165
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REINA ANTONIA RODRIGUEZ CRT

Provider Business Mailing Address
First Line	:	9980 NW 131ST ST
Second Line	:
City	:	HIALEAH GARDENS
State	:	FL
Zip	:	33018-1672
Country	:	US
Telephone Number	:	305-826-9347
Fax Number	:

Provider Business Practice Location Address
First Line	:	9980 NW 131ST ST
Second Line	:
City	:	HIALEAH GARDENS
State	:	FL
Zip	:	33018-1672
Country	:	US
Telephone Number	:	305-826-9347
Fax Number	:

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

Provider Enumeration Date	:	04/03/2007
Last Update Date	:	04/12/2026

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