Healthcare Provider Details

I. General information

NPI: 1710899240
Provider Name (Legal Business Name): DAYLIN RODRIGUEZ HERNANDEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2341 NE 4TH ST
HOMESTEAD FL
33033-5946
US

IV. Provider business mailing address

2341 NE 4TH ST
HOMESTEAD FL
33033-5946
US

V. Phone/Fax

Practice location:
  • Phone: 786-935-6134
  • Fax: 786-935-6134
Mailing address:
  • Phone: 786-935-6134
  • Fax: 786-935-6134

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11051028
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: