Healthcare Provider Details

I. General information

NPI: 1295666410
Provider Name (Legal Business Name): NATASIA TINA RODRIGUEZ RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NATASIA TINA CABRERA RN

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

680 GRANT TER
TEANECK NJ
07666-6521
US

IV. Provider business mailing address

680 GRANT TER
TEANECK NJ
07666-6521
US

V. Phone/Fax

Practice location:
  • Phone: 646-256-6812
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License Number635656
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: