Provider Demographics
NPI:1821886557
Name:RODRIGUEZ DURAN, DALY
Entity type:Individual
Prefix:
First Name:DALY
Middle Name:
Last Name:RODRIGUEZ DURAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3201 SW 73RD AVENUE RD
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-3620
Mailing Address - Country:US
Mailing Address - Phone:786-445-3311
Mailing Address - Fax:
Practice Address - Street 1:3201 SW 73RD AVENUE RD
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-3620
Practice Address - Country:US
Practice Address - Phone:786-445-3311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach