MEDICARE: KATISLEIDY RODRIGUEZ BARRIOS

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	363LP2300X	Primary Care Nurse Practitioner	11028760	FL

General Provider Information

NPI Number	:	1275314437
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATISLEIDY RODRIGUEZ BARRIOS

Provider Business Mailing Address
First Line	:	3339 TAMIAMI TRL E
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34112-5361
Country	:	US
Telephone Number	:	786-262-3597
Fax Number	:

Provider Business Practice Location Address
First Line	:	3339 TAMIAMI TRL E
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34112-5361
Country	:	US
Telephone Number	:	786-262-3597
Fax Number	:

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

Provider Enumeration Date	:	10/12/2023
Last Update Date	:	02/13/2026

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