Provider Demographics
NPI:1669120721
Name:RODRIGUEZ ARIAS, ZOILA LISSET (FNP)
Entity type:Individual
Prefix:
First Name:ZOILA
Middle Name:LISSET
Last Name:RODRIGUEZ ARIAS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2425 SW 138TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-6367
Mailing Address - Country:US
Mailing Address - Phone:305-216-0056
Mailing Address - Fax:
Practice Address - Street 1:2425 SW 138TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-6367
Practice Address - Country:US
Practice Address - Phone:305-216-0056
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-16
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLF03220335363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily