Healthcare Provider Details

I. General information

NPI: 1780528323
Provider Name (Legal Business Name): NILDA E. RODRIGUEZ APRP, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6920 W 10TH AVE
HIALEAH FL
33014-5204
US

IV. Provider business mailing address

6920 W 10TH AVE
HIALEAH FL
33014-5204
US

V. Phone/Fax

Practice location:
  • Phone: 786-301-1969
  • Fax:
Mailing address:
  • Phone: 786-301-1969
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11046792
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: