Healthcare Provider Details

I. General information

NPI: 1932493665
Provider Name (Legal Business Name): MISS NIURKA RODRIGUEZ CASTELL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/27/2011
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1413 NW 9TH ST
CAPE CORAL FL
33993-7205
US

IV. Provider business mailing address

1413 NW 9TH ST
CAPE CORAL FL
33993-7205
US

V. Phone/Fax

Practice location:
  • Phone: 712-730-3349
  • Fax:
Mailing address:
  • Phone: 712-730-3348
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11047784
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: