Provider Demographics
NPI:1376392290
Name:FUENTES RODRIGUEZ, COSETTE (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:COSETTE
Middle Name:
Last Name:FUENTES RODRIGUEZ
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3450 SW 142ND PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-7422
Mailing Address - Country:US
Mailing Address - Phone:786-805-8772
Mailing Address - Fax:
Practice Address - Street 1:2695 S LE JEUNE RD STE 300
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-5840
Practice Address - Country:US
Practice Address - Phone:305-446-0330
Practice Address - Fax:305-446-5079
Is Sole Proprietor?:No
Enumeration Date:2024-05-14
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11032703363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily