Provider Demographics
NPI:1588374995
Name:RODRIGUEZ HORTA, DANAY
Entity type:Individual
Prefix:
First Name:DANAY
Middle Name:
Last Name:RODRIGUEZ HORTA
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 1:900 SW 84TH AVE APT 407
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-4105
Mailing Address - Country:US
Mailing Address - Phone:786-222-4902
Mailing Address - Fax:
Practice Address - Street 1:19000 SW 377TH ST
Practice Address - Street 2:
Practice Address - City:FLORIDA CITY
Practice Address - State:FL
Practice Address - Zip Code:33034-6407
Practice Address - Country:US
Practice Address - Phone:786-349-2363
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-28
Last Update Date:2022-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9498983163W00000X
FLAPRN11022746363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse