Healthcare Provider Details

I. General information

NPI: 1629980966
Provider Name (Legal Business Name): ARLENY LASCANO RODRIGUEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14819 SW 45TH LN
MIAMI FL
33185-4325
US

IV. Provider business mailing address

14819 SW 45TH LN
MIAMI FL
33185-4325
US

V. Phone/Fax

Practice location:
  • Phone: 305-546-8269
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberF09260698
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: