=====================================================
General NPI Number Information
=====================================================
NPI Number | 1033516596
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CAROLINA AMAYA RODRIGUEZ A.P.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/28/2014
-----------------------------------------------------
Last Update Date | 12/03/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4146 SW 64TH AVE
-----------------------------------------------------
City | DAVIE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33314-3463
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-344-8878
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4146 SW 64TH AVE
-----------------------------------------------------
City | DAVIE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33314-3463
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-716-3626
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171100000X
-----------------------------------------------------
Taxonomy Name | Acupuncturist
-----------------------------------------------------
License Number | 3524
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------