Provider Demographics
NPI:1639683642
Name:RODRIGUEZ, YENNI Y (HHA)
Entity type:Individual
Prefix:
First Name:YENNI
Middle Name:Y
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:HHA
Other - Prefix:MS
Other - First Name:YENNI
Other - Middle Name:Y
Other - Last Name:RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:HHA
Mailing Address - Street 1:637 SW 3RD ST APT 304
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33130-2314
Mailing Address - Country:US
Mailing Address - Phone:786-342-3736
Mailing Address - Fax:
Practice Address - Street 1:637 SW 3RD ST APT 304
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130-2314
Practice Address - Country:US
Practice Address - Phone:786-342-3736
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL253Z00000XOtherTAXONOMY