Provider Demographics
NPI:1689438830
Name:RODRIGUEZ, SANDY (RN5231802)
Entity Type:Individual
Prefix:
First Name:SANDY
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:RN5231802
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3180 NW 7TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-4202
Mailing Address - Country:US
Mailing Address - Phone:305-927-5869
Mailing Address - Fax:
Practice Address - Street 1:3180 NW 7TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-4202
Practice Address - Country:US
Practice Address - Phone:305-927-5869
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-08
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL5231802163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse