Healthcare Provider Details

I. General information

NPI: 1245134865
Provider Name (Legal Business Name): RESTORACARE HEALTH GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 69TH ST APT 513
MIAMI BEACH FL
33141-3101
US

IV. Provider business mailing address

401 69TH ST APT 513
MIAMI BEACH FL
33141-3101
US

V. Phone/Fax

Practice location:
  • Phone: 786-797-8765
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: LIANNYS RODRIGUEZ
Title or Position: CEO
Credential: APRN
Phone: 786-797-8765