Provider Demographics
NPI:1922820042
Name:SERAFIN RODRIGUEZ, SARAH GISELDA
Entity type:Individual
Prefix:MISS
First Name:SARAH
Middle Name:GISELDA
Last Name:SERAFIN RODRIGUEZ
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 1:12650 SW 195 TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-6509
Mailing Address - Country:US
Mailing Address - Phone:786-260-9478
Mailing Address - Fax:
Practice Address - Street 1:5600 SW 135 TH AVE
Practice Address - Street 2:SUITE 112 B
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183
Practice Address - Country:US
Practice Address - Phone:786-269-5268
Practice Address - Fax:833-230-8204
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-29
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPTA29009225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant