Lisandra Rodriguez Pena, NP
Nurse Practitioner, Family in Miami, FL. Individual provider (NPI-1).
NPI number1730536699
StatusActive
Last updated in NPPESJun 18, 2025
Details
- NPI
- 1730536699
- Entity type
- Individual (NPI-1)
- Name
- Lisandra Rodriguez Pena
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 20, 2016
- Certification date
- Jun 18, 2025
- Last updated
- Jun 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | APRN11014165 | FL | Yes |
Practice location
12762 Sw 47th TerMiami, FL 33175-4655
Phone 786-709-1032
Mailing address
12762 Sw 47th TerMiami, FL 33175-4655
Phone 786-709-1032
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