Individual
RAIDA L RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2450 SW 137TH AVE STE 207, MIAMI, FL 33175-6312
(786) 464-0955
Mailing address
2450 SW 137TH AVE STE 207, MIAMI, FL 33175-6312
(786) 464-0955
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP3602
LICENSE NUMBER
FL
Enumeration date
12/07/2018
Last updated
12/07/2018
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