Provider Demographics
NPI:1629859699
Name:RODRIGUEZ, GIANNI (RN)
Entity Type:Individual
Prefix:MS
First Name:GIANNI
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5040 NW 7TH ST STE 530
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-3432
Mailing Address - Country:US
Mailing Address - Phone:954-589-9184
Mailing Address - Fax:
Practice Address - Street 1:5040 NW 7TH ST STE 530
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-3432
Practice Address - Country:US
Practice Address - Phone:954-589-9184
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-06
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9641597163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse