MEDICARE: NEW HOPE PEDIATRIC SERVICE LLC.

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

General Provider Information

NPI Number	:	1396626776
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW HOPE PEDIATRIC SERVICE LLC.

Provider Business Mailing Address
First Line	:	9044 NW 148TH ST
Second Line	:
City	:	MIAMI LAKES
State	:	FL
Zip	:	33018-7313
Country	:	US
Telephone Number	:	786-337-5117
Fax Number	:

Provider Business Practice Location Address
First Line	:	4530 NW 7TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-2307
Country	:	US
Telephone Number	:	786-558-5158
Fax Number	:	786-558-5591

Authorized Official
Title or Position	:	OWNER
Name	:	DAHIMY AVILA RODRIGUEZ
Credential	:	DNP, ARNP
Telephone Number	:	786-337-5117

Provider Enumeration Date	:	09/10/2025
Last Update Date	:	03/25/2026

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