Provider Demographics
NPI:1013529908
Name:RODRIGUEZ PRIETO, YOANKA (APRN)
Entity Type:Individual
Prefix:
First Name:YOANKA
Middle Name:
Last Name:RODRIGUEZ PRIETO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1835 NW 132ND ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33167-1538
Mailing Address - Country:US
Mailing Address - Phone:813-863-5404
Mailing Address - Fax:
Practice Address - Street 1:1835 NW 132ND ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33167-1538
Practice Address - Country:US
Practice Address - Phone:813-863-5404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-20
Last Update Date:2020-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11004917363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily