Individual
MAYLEN RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1096
(305) 585-1111
Mailing address
2520 SW 99TH AVE, MIAMI, FL 33165-2633
(305) 496-3029
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
11009546
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
11009546
FL
Other
Enumeration date
04/23/2021
Last updated
06/27/2021
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