Individual
HERIBERTO RODRIGUEZ HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
175 FOUNTAINBLEAU BLVD STE 1F, MIAMI, FL 33172-4511
(786) 389-8242
Mailing address
175 FOUNTAINBLEAU BLVD STE 1F, MIAMI, FL 33172-4511
(786) 389-8242
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11010128
FL
363LF0000X
Family Nurse Practitioner
645037
FL
363LF0000X
Family Nurse Practitioner
F07201323
FL
Other
Enumeration date
04/09/2014
Last updated
04/19/2021
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