Provider Demographics
NPI:1043024565
Name:RODRIGUEZ PEREZ, HECTOR OSMEL (NP)
Entity type:Individual
Prefix:
First Name:HECTOR
Middle Name:OSMEL
Last Name:RODRIGUEZ PEREZ
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13042 SW 88TH LN
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-1629
Mailing Address - Country:US
Mailing Address - Phone:786-757-2174
Mailing Address - Fax:
Practice Address - Street 1:2151 W HILLSBORO BLVD
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442-1200
Practice Address - Country:US
Practice Address - Phone:561-938-6464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11037502363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty