MEDICARE: BEATRIZ BORREGO RODRIGUEZ APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	11013984	FL

General Provider Information

NPI Number	:	1134790025
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BEATRIZ BORREGO RODRIGUEZ APRN

Provider Business Mailing Address
First Line	:	27041 SW 119TH CT
Second Line	:
City	:	HOMESTEAD
State	:	FL
Zip	:	33032-3331
Country	:	US
Telephone Number	:	786-371-1892
Fax Number	:

Provider Business Practice Location Address
First Line	:	4218 E 4TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33013-2306
Country	:	US
Telephone Number	:	305-266-2929
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/02/2021
Last Update Date	:	12/30/2025

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