Provider Demographics
NPI:1912650706
Name:PAZ RODRIGUEZ, PEDRO OSMANI SR (BS)
Entity Type:Individual
Prefix:
First Name:PEDRO OSMANI
Middle Name:
Last Name:PAZ RODRIGUEZ
Suffix:SR
Gender:M
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14035 MONROE ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-6329
Mailing Address - Country:US
Mailing Address - Phone:786-328-3847
Mailing Address - Fax:
Practice Address - Street 1:14035 MONROE ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-6329
Practice Address - Country:US
Practice Address - Phone:786-328-3847
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-01
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator