Individual
MAIRA E RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1305 SW GASTADOR AVE, PORT SAINT LUCIE, FL 34953-1724
(505) 554-7269
Mailing address
1305 SW GASTADOR AVE, PORT SAINT LUCIE, FL 34953-1724
(505) 554-7269
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9675489
FL
Other
Enumeration date
01/07/2026
Last updated
01/07/2026
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