Provider Demographics
NPI:1386382109
Name:ROXANA RODRIGUEZ APRN-FNP CORP
Entity type:Organization
Organization Name:ROXANA RODRIGUEZ APRN-FNP CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROXANA
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:305-300-2942
Mailing Address - Street 1:5225 NW 85TH AVE APT 1503
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6073
Mailing Address - Country:US
Mailing Address - Phone:305-300-2942
Mailing Address - Fax:
Practice Address - Street 1:5225 NW 85TH AVE APT 1503
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-6073
Practice Address - Country:US
Practice Address - Phone:305-300-2942
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-23
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty