Perez Rodriguez, Idayli
Perez Rodriguez, Idayli is an individual health care provider with primary practice located at 363 S Homestead Blvd , Homestead FL 33030-7309. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Perez Rodriguez, Idayli can be contacted via phone (855) 226-6633.Contact Information
Primary practice address
363 S Homestead Blvd
Homestead FL 33030-7309
Phone: (855) 226-6633
Fax: (866) 285-7068
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 019966 | Puerto Rico |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 14321-I | Puerto Rico |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ACN1086 | Florida |
Profile Details
| NPI number | 1174040497 |
|---|---|
| LBN Legal business name | Perez Rodriguez, Idayli |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 28th, 2017 |
| Last updated | Mar 25th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174040497 | NPPES |
| Florida | MEDICAID | 108539300 |
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