Provider Demographics
NPI:1497385447
Name:SANCHEZ-RODRIGUEZ, KYRENIA (MD)
Entity type:Individual
Prefix:
First Name:KYRENIA
Middle Name:
Last Name:SANCHEZ-RODRIGUEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5535 SW 112TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-6849
Mailing Address - Country:US
Mailing Address - Phone:786-200-2130
Mailing Address - Fax:
Practice Address - Street 1:8300 SW 8TH ST STE 105
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-4100
Practice Address - Country:US
Practice Address - Phone:305-260-5493
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-17
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLACN1224208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice