Provider Demographics
NPI:1033516596
Name:RODRIGUEZ, CAROLINA AMAYA (AP)
Entity type:Individual
Prefix:DR
First Name:CAROLINA
Middle Name:AMAYA
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:CAROLINA
Other - Middle Name:
Other - Last Name:ZAKES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4146 SW 64TH AVE
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33314-3463
Mailing Address - Country:US
Mailing Address - Phone:954-716-3626
Mailing Address - Fax:
Practice Address - Street 1:4146 SW 64TH AVE
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33314-3463
Practice Address - Country:US
Practice Address - Phone:786-344-8878
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-28
Last Update Date:2025-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3524171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist