Healthcare Provider Details

I. General information

NPI: 1669313862
Provider Name (Legal Business Name): RODRIGUEZ ADVANCE PRACTICE CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15019 SW 89TH TER
MIAMI FL
33196-1461
US

IV. Provider business mailing address

15019 SW 89TH TER
MIAMI FL
33196-1461
US

V. Phone/Fax

Practice location:
  • Phone: 786-532-3947
  • Fax:
Mailing address:
  • Phone: 786-532-3947
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ARGELIA YUSELY RODRIGUEZ HERNANDEZ
Title or Position: APRN
Credential: APRN. BC-FNP
Phone: 786-532-3947