Provider Demographics
NPI:1336570290
Name:RODRIGUEZ, MILEIDA JANET I
Entity type:Individual
Prefix:MRS
First Name:MILEIDA
Middle Name:JANET
Last Name:RODRIGUEZ
Suffix:I
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:MILEIDA
Other - Middle Name:JANET
Other - Last Name:RODRIGUEZ
Other - Suffix:I
Other - Last Name Type:Former Name
Other - Credentials:REGISTER RESPIRATORY
Mailing Address - Street 1:424 NE 21ST AVE
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33033-6035
Mailing Address - Country:US
Mailing Address - Phone:786-252-2324
Mailing Address - Fax:
Practice Address - Street 1:424 NE 21ST AVE
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33033-6035
Practice Address - Country:US
Practice Address - Phone:786-252-2324
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-03
Last Update Date:2013-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRT 13062227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered