Provider Demographics
NPI:1487495537
Name:RODRIGUEZ ALONZO, NOHELYM DE FATIMA
Entity type:Individual
Prefix:
First Name:NOHELYM
Middle Name:DE FATIMA
Last Name:RODRIGUEZ ALONZO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 HIALEAH DR
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-5221
Mailing Address - Country:US
Mailing Address - Phone:786-236-6113
Mailing Address - Fax:
Practice Address - Street 1:1015 N AMERICA WAY
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33132-2017
Practice Address - Country:US
Practice Address - Phone:305-358-4265
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-03
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11030554163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice