Individual
IDALMIS RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5460 NW 174TH DR, MIAMI GARDENS, FL 33055-3557
(786) 761-0761
Mailing address
5460 NW 174TH DR, MIAMI GARDENS, FL 33055-3557
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/21/2025
Last updated
05/21/2025
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