Healthcare Provider Details

I. General information

NPI: 1174430409
Provider Name (Legal Business Name): MARGARITA MERCEDES RODRIGUEZ CORRA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9380 SW 72ND ST STE B238
MIAMI FL
33173-5483
US

IV. Provider business mailing address

9380 SW 72ND ST STE B238
MIAMI FL
33173-5483
US

V. Phone/Fax

Practice location:
  • Phone: 786-536-7779
  • Fax: 786-732-1081
Mailing address:
  • Phone: 786-536-7779
  • Fax: 786-732-1081

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11050227
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: