Provider Demographics
NPI:1962857540
Name:RODRIGUEZ CARMENATY, ISABEL MARIA (NP)
Entity Type:Individual
Prefix:MS
First Name:ISABEL
Middle Name:MARIA
Last Name:RODRIGUEZ CARMENATY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 RIVERFRONT BLVD STE 710
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34205-8812
Mailing Address - Country:US
Mailing Address - Phone:941-764-0000
Mailing Address - Fax:
Practice Address - Street 1:919 53RD AVE E
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34203-4801
Practice Address - Country:US
Practice Address - Phone:941-751-8100
Practice Address - Fax:941-751-8127
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-02
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
FLAPRN11024379363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst