Healthcare Provider Details

I. General information

NPI: 1033060504
Provider Name (Legal Business Name): AMANDA CABRERA RODRIGUEZ FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/09/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 SW 129TH AVE STE 101
PEMBROKE PINES FL
33027-1778
US

IV. Provider business mailing address

7211 MIAMI LAKES DR APT A3
MIAMI LAKES FL
33014-6937
US

V. Phone/Fax

Practice location:
  • Phone: 954-487-1516
  • Fax: 954-487-1519
Mailing address:
  • Phone: 786-818-1164
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11045217
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: