Individual
DARGEL RODRIGUEZ MEDEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13207 SW 44TH LN, MIAMI, FL 33175-3934
(786) 245-1687
Mailing address
13207 SW 44TH LN, MIAMI, FL 33175-3934
(786) 245-1687
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11039003
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019517000
—
FL
Enumeration date
11/14/2016
Last updated
09/01/2025
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