Provider Demographics
NPI:1457532327
Name:RODRIGUEZ, AILE (CNA)
Entity Type:Individual
Prefix:
First Name:AILE
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 SW 87TH PATH
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-3930
Mailing Address - Country:US
Mailing Address - Phone:305-873-4135
Mailing Address - Fax:305-264-9427
Practice Address - Street 1:221 SW 87TH PATH
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-3930
Practice Address - Country:US
Practice Address - Phone:305-873-4135
Practice Address - Fax:305-264-9427
Is Sole Proprietor?:No
Enumeration Date:2007-11-20
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor