Individual
MAELYN LAZARA CAMACHO RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1060 W 49TH ST, HIALEAH, FL 33012-3322
(844) 665-4827
Mailing address
3601 FEDERAL HWY, MIAMI, FL 33137-3795
(305) 576-6611
(786) 476-2819
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
18593
PR
208D00000X
General Practice Physician
ACN569
FL
208D00000X
General Practice Physician
Primary
ME137603
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012354200
—
FL
01
—
ACN569
MEDICAL LICSENSE
FL
01
—
ME137603
MEDICAL LICENSE
FL
Enumeration date
02/12/2014
Last updated
03/07/2023
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