Idalmis Gonzalez Rodriguez, APRN
Behavior Analyst in Miami Lakes, FL. Individual provider (NPI-1).
NPI number1316632854
StatusActive
Last updated in NPPESMar 19, 2026
Details
- NPI
- 1316632854
- Entity type
- Individual (NPI-1)
- Name
- Idalmis Gonzalez Rodriguez
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 10, 2023
- Certification date
- Mar 19, 2026
- Last updated
- Mar 19, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-26-88466 | FL | Yes |
| 363LF0000X | Nurse Practitioner, Family | 11023197 | FL |
Practice location
14506 Nw 88th AveMiami Lakes, FL 33018-8030
Phone 786-678-7091
Mailing address
14506 Nw 88th AveMiami Lakes, FL 33018-8030
Phone 786-678-7091
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