Healthcare Provider Details

I. General information

NPI: 1942112040
Provider Name (Legal Business Name): RITA RODRIGUEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 SW 72ND CT
MIAMI FL
33155-1546
US

IV. Provider business mailing address

1901 SW 72ND CT
MIAMI FL
33155-1546
US

V. Phone/Fax

Practice location:
  • Phone: 305-717-8120
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberPTA34773
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: