Provider Demographics
NPI:1437719747
Name:LUERINO, RODRIGO HUGO
Entity Type:Individual
Prefix:
First Name:RODRIGO
Middle Name:HUGO
Last Name:LUERINO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1748 NE 180TH ST
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162-1502
Mailing Address - Country:US
Mailing Address - Phone:786-340-5283
Mailing Address - Fax:
Practice Address - Street 1:1748 NE 180TH ST
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-1502
Practice Address - Country:US
Practice Address - Phone:786-340-5283
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-18
Last Update Date:2019-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLL650728770410347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle