Healthcare Provider Details

I. General information

NPI: 1801413331
Provider Name (Legal Business Name): JUAN EMILIO RODRIGUEZ LINARES APRN FNP-C, MSN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2020
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

460 N UNIVERSITY DR
PEMBROKE PINES FL
33024-6720
US

IV. Provider business mailing address

6101 BLUE LAGOON DR STE 200
MIAMI FL
33126-3168
US

V. Phone/Fax

Practice location:
  • Phone: 954-932-9486
  • Fax: 877-637-9596
Mailing address:
  • Phone: 305-500-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11007847
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: