Individual
MARIOLIS RODRIGUEZ DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
100 NW 170TH ST STE 301, NORTH MIAMI BEACH, FL 33169-5511
(305) 651-3038
(305) 651-3033
Mailing address
8709 NW 189TH TER, HIALEAH, FL 33018-6234
(305) 613-6396
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
11009268
FL
Other
Enumeration date
09/18/2021
Last updated
09/18/2021
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