Provider Demographics
NPI:1376078949
Name:COMPANIONI RODRIGUEZ, YAMELIS
Entity Type:Individual
Prefix:
First Name:YAMELIS
Middle Name:
Last Name:COMPANIONI 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 1:9805 W OKEECHOBEE RD APT 107
Mailing Address - Street 2:
Mailing Address - City:HIALEAH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33016-2155
Mailing Address - Country:US
Mailing Address - Phone:305-833-0966
Mailing Address - Fax:
Practice Address - Street 1:9805 W OKEECHOBEE RD APT 107
Practice Address - Street 2:
Practice Address - City:HIALEAH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33016-2155
Practice Address - Country:US
Practice Address - Phone:305-833-0966
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-20
Last Update Date:2017-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other