Individual
MS. DIANELIS OJEDA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1400 NW 12TH AVE, MIAMI, FL 33136-1087
(305) 325-5511
Mailing address
2606 W 9TH LN, HIALEAH, FL 33010-1228
(786) 231-4732
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN11017944
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11017944
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05092022536276
APPLICATION TRACKING NUMBER
FL
Enumeration date
05/09/2022
Last updated
05/10/2024
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