MEDICARE: HEYNI DE LA CARIDAD CRUZ RODRIGUEZ

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1518636190
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEYNI DE LA CARIDAD CRUZ RODRIGUEZ

Provider Business Mailing Address
First Line	:	13550 SW 99TH PL
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33176-6169
Country	:	US
Telephone Number	:	786-559-7240
Fax Number	:

Provider Business Practice Location Address
First Line	:	11401 SW 40TH ST STE 360
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-3340
Country	:	US
Telephone Number	:	786-452-1185
Fax Number	:

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

Provider Enumeration Date	:	09/08/2021
Last Update Date	:	09/08/2021

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Directions to “ HEYNI DE LA CARIDAD CRUZ RODRIGUEZ ” Practice Location

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