Provider Demographics
NPI:1588178784
Name:RODRIGUEZ, DAYANA NIEVES
Entity Type:Individual
Prefix:
First Name:DAYANA
Middle Name:NIEVES
Last Name: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 1:10410 NW 32ND CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33147-1112
Mailing Address - Country:US
Mailing Address - Phone:786-329-9751
Mailing Address - Fax:
Practice Address - Street 1:10410 NW 32ND CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33147-1112
Practice Address - Country:US
Practice Address - Phone:786-329-9751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-27
Last Update Date:2017-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician