Healthcare Provider Details

I. General information

NPI: 1881531085
Provider Name (Legal Business Name): YOANKA SOTO RODRIGUEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5579 W 22ND CT
HIALEAH FL
33016-7007
US

IV. Provider business mailing address

5579 W 22ND CT
HIALEAH FL
33016-7007
US

V. Phone/Fax

Practice location:
  • Phone: 786-230-0361
  • Fax: 786-230-0361
Mailing address:
  • Phone: 786-230-0361
  • Fax: 786-230-0361

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number27067
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: