Healthcare Provider Details

I. General information

NPI: 1134790025
Provider Name (Legal Business Name): BEATRIZ BORREGO RODRIGUEZ APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2021
Last Update Date: 12/30/2025
Certification Date: 12/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4218 E 4TH AVE
HIALEAH FL
33013-2306
US

IV. Provider business mailing address

27041 SW 119TH CT
HOMESTEAD FL
33032-3331
US

V. Phone/Fax

Practice location:
  • Phone: 305-266-2929
  • Fax:
Mailing address:
  • Phone: 786-371-1892
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11013984
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: