Provider Demographics
NPI:1780330373
Name:RODRIGUEZ, MELANIE (PA)
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1150 NW 72ND AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-1936
Mailing Address - Country:US
Mailing Address - Phone:786-497-3444
Mailing Address - Fax:786-953-6559
Practice Address - Street 1:1150 NW 72ND AVE STE 640
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-1921
Practice Address - Country:US
Practice Address - Phone:786-497-3444
Practice Address - Fax:786-953-6559
Is Sole Proprietor?:No
Enumeration Date:2022-02-23
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT6030363AM0700X
363AM0700X
FLPA9115136363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical