Provider Demographics
NPI:1275961484
Name:RODRIGUEZ, DAYNERIS (LPN)
Entity Type:Individual
Prefix:MRS
First Name:DAYNERIS
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MISS
Other - First Name:DAYNERIS
Other - Middle Name:
Other - Last Name:CARRERA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPN
Mailing Address - Street 1:8 DURGIN ST
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14605-1007
Mailing Address - Country:US
Mailing Address - Phone:585-455-7462
Mailing Address - Fax:
Practice Address - Street 1:8 DURGIN ST
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14605-1007
Practice Address - Country:US
Practice Address - Phone:585-455-7462
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-25
Last Update Date:2013-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY303613-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse