Provider Demographics
NPI:1578887824
Name:RODRIGUEZ MONZON, AILYN (APRN)
Entity Type:Individual
Prefix:
First Name:AILYN
Middle Name:
Last Name:RODRIGUEZ MONZON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13745 SW 34TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-7202
Mailing Address - Country:US
Mailing Address - Phone:305-766-7868
Mailing Address - Fax:
Practice Address - Street 1:2721 SW 137TH AVE STE 117
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-6319
Practice Address - Country:US
Practice Address - Phone:786-703-9954
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-16
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA 57132225700000X
FL9418050363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist