Provider Demographics
NPI:1366142861
Name:CANAS RODRIGUEZ, JOHN EDUARDO (RNFA)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:EDUARDO
Last Name:CANAS RODRIGUEZ
Suffix:
Gender:M
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15550 SW 80TH ST APT E203
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-3374
Mailing Address - Country:US
Mailing Address - Phone:786-782-8556
Mailing Address - Fax:
Practice Address - Street 1:15550 SW 80TH ST APT E203
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33193-3374
Practice Address - Country:US
Practice Address - Phone:786-782-8556
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-06
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL21-518246ZC0007X
FLRN9619141163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant
No246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant