Provider Demographics
NPI:1619742988
Name:RODRIGUEZPEREZ, ANA MARIA
Entity Type:Individual
Prefix:MS
First Name:ANA
Middle Name:MARIA
Last Name:RODRIGUEZPEREZ
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 1:7080 SILVERADO RANCH BLVD
Mailing Address - Street 2:
Mailing Address - City:ZEPHYRHILLS
Mailing Address - State:FL
Mailing Address - Zip Code:33541-2564
Mailing Address - Country:US
Mailing Address - Phone:517-706-1147
Mailing Address - Fax:
Practice Address - Street 1:7080 SILVERADO RANCH BLVD
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33541-2564
Practice Address - Country:US
Practice Address - Phone:517-706-1147
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-16
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLF112300090363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care