MEDICARE: ANIELYS RODRIGUEZ MORENO

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	183500000X	Pharmacist	PS70078	FL

General Provider Information

NPI Number	:	1851258818
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANIELYS RODRIGUEZ MORENO

Provider Business Mailing Address
First Line	:	10480 SW 42ND ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-4934
Country	:	US
Telephone Number	:	786-602-5284
Fax Number	:

Provider Business Practice Location Address
First Line	:	10480 SW 42ND ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-4934
Country	:	US
Telephone Number	:	786-602-5284
Fax Number	:

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

Provider Enumeration Date	:	01/09/2026
Last Update Date	:	01/09/2026

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