Provider Demographics
NPI:1891121018
Name:RODRIGUEZ, MARISA BARBARA (ARNP)
Entity Type:Individual
Prefix:
First Name:MARISA
Middle Name:BARBARA
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7887 N KENDALL DR
Mailing Address - Street 2:SUITE 210
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-7427
Mailing Address - Country:US
Mailing Address - Phone:305-598-1555
Mailing Address - Fax:305-598-1155
Practice Address - Street 1:7887 N KENDALL DR
Practice Address - Street 2:SUITE 210
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-7427
Practice Address - Country:US
Practice Address - Phone:305-598-1555
Practice Address - Fax:305-598-1155
Is Sole Proprietor?:No
Enumeration Date:2013-09-19
Last Update Date:2015-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9288105363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care