Individual
IDAYLI PEREZ RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26085 S DIXIE HWY, HOMESTEAD, FL 33032-6613
(305) 685-5688
(877) 409-1809
Mailing address
903 NW 97TH AVE APT 101, MIAMI, FL 33172-2354
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
019966
PR
208D00000X
General Practice Physician
Primary
ACN1086
FL
390200000X
Student in an Organized Health Care Education/Training Program
14321-I
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108539300
—
FL
Enumeration date
08/28/2017
Last updated
04/21/2025
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