MEDICARE: ROSBEL MIRABAL RODRIGUEZ FNP

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	ARNP 9358502	FL

General Provider Information

NPI Number	:	1831592377
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSBEL MIRABAL RODRIGUEZ FNP

Provider Business Mailing Address
First Line	:	259 E 49TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33013-1854
Country	:	US
Telephone Number	:	786-776-2021
Fax Number	:	786-776-2022

Provider Business Practice Location Address
First Line	:	259 E 49TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33013-1854
Country	:	US
Telephone Number	:	786-776-2021
Fax Number	:	786-776-2022

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

Provider Enumeration Date	:	09/29/2014
Last Update Date	:	02/11/2026

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