Provider Demographics
NPI:1346070125
Name:BARAJAS RODRIGUEZ, ROSA ISABEL
Entity type:Individual
Prefix:
First Name:ROSA
Middle Name:ISABEL
Last Name:BARAJAS 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 1:1370 NE 119TH ST APT 8
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-6528
Mailing Address - Country:US
Mailing Address - Phone:786-302-3553
Mailing Address - Fax:
Practice Address - Street 1:1370 NE 119TH ST APT 8
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-6528
Practice Address - Country:US
Practice Address - Phone:786-302-3553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-06
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No372600000XNursing Service Related ProvidersAdult Companion