Individual
ROGELIO DANIEL MADRUGA PAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
4155 SW 130TH AVE STE 114, MIAMI, FL 33175-3414
(956) 293-5008
(645) 202-2725
Mailing address
4155 SW 130TH AVE STE 114, MIAMI, FL 33175-3414
(956) 293-5008
(645) 202-2725
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
11007296
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11007296
FL
Other
Enumeration date
05/31/2020
Last updated
09/10/2025
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