Provider Demographics
NPI:1386297257
Name:RODRIGUEZ PAREDES, DAMARYS (APRN)
Entity type:Individual
Prefix:
First Name:DAMARYS
Middle Name:
Last Name:RODRIGUEZ PAREDES
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15508 W BELL RD STE 101
Mailing Address - Street 2:PMB #411
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374-2432
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7371 SW 24TH ST.
Practice Address - Street 2:UNLIMITED CARE MEDICAL CENTER INC
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-1402
Practice Address - Country:US
Practice Address - Phone:786-360-4051
Practice Address - Fax:305-456-6647
Is Sole Proprietor?:No
Enumeration Date:2019-07-19
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11003337363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily