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Idayli Perez Rodriguez
General Practice Physician in Homestead, Florida
NPI 1174040497

Idayli Perez Rodriguez is a General Practice Physician based in Miami, FL. Idayli Perez Rodriguez practices in Homestead, FL. The NPI Number for Idayli Perez Rodriguez is 1174040497 and holds a License No. 019966 (Florida).

The current practice location address for Idayli Perez Rodriguez is 363 S Homestead Blvd, Homestead, FL and can be reached out via phone at 855-226-6633 and via fax at 866-285-7068.

Location: 363 S Homestead Blvd, Homestead, FL, 33172-2354
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174040497
Provider Name
Idayli Perez Rodriguez
Credential
Provider Entity Type
Individual
Gender
Female
Address
363 S Homestead Blvd, Homestead, FL, 33172-2354
Phone Number
855-226-6633
Fax Number
866-285-7068
Provider Enumeration Date
08/28/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
108539300 05 FL
institution
Provider Business Practice Location Address Details
Address
363 S Homestead Blvd
City
Homestead
State
Florida
Zip
33030-7309
Phone Number
855-226-6633
Fax Number
866-285-7068
person
Provider Business Mailing Address Details
Address
363 S Homestead Blvd
City
Homestead
State
Florida
Zip
33030-7309
Phone Number
855-226-6633
Fax Number
866-285-7068
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
14321-I ()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
019966 ()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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