Healthcare Provider Details

I. General information

NPI: 1164072112
Provider Name (Legal Business Name): FRANCISCO ACOSTA RODRIGUEZ
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2019
Last Update Date: 03/27/2023
Certification Date: 03/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8737 NW 146TH LN
MIAMI LAKES FL
33018-8056
US

IV. Provider business mailing address

8737 NW 146TH LN
MIAMI LAKES FL
33018-8056
US

V. Phone/Fax

Practice location:
  • Phone: 786-487-6068
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11000510
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number11000510
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: