Healthcare Provider Details

I. General information

NPI: 1891343851
Provider Name (Legal Business Name): ADRIANA ROSENDO VELIZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2019
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9066 NW 181ST ST
HIALEAH FL
33018-6527
US

IV. Provider business mailing address

9066 NW 181ST ST
HIALEAH FL
33018-6527
US

V. Phone/Fax

Practice location:
  • Phone: 346-245-2308
  • Fax:
Mailing address:
  • Phone: 346-245-2308
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN32267
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: