Healthcare Provider Details

I. General information

NPI: 1558298919
Provider Name (Legal Business Name): JOEL RODRIGUEZ HIDALGO APRN, FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8530 BYRON AVE APT 406
MIAMI BEACH FL
33141-4851
US

IV. Provider business mailing address

8530 BYRON AVE APT 406
MIAMI BEACH FL
33141-4851
US

V. Phone/Fax

Practice location:
  • Phone: 786-916-9064
  • Fax: 786-916-9064
Mailing address:
  • Phone: 786-916-9064
  • Fax: 786-916-9064

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11047347
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: