Provider Demographics
NPI:1154014231
Name:MOREIRA RODRIGUEZ, DAYANA
Entity type:Individual
Prefix:
First Name:DAYANA
Middle Name:
Last Name:MOREIRA RODRIGUEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4111 SW 102ND CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-4943
Mailing Address - Country:US
Mailing Address - Phone:786-325-1654
Mailing Address - Fax:
Practice Address - Street 1:4111 SW 102ND CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-4943
Practice Address - Country:US
Practice Address - Phone:786-325-1654
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-02
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XM0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistMental Health