Individual ProviderOctavio Perez RodriguezNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address8221 SW 186th St, Cutler Bay, FL 33157-7353(305) 495-6878PECOS EnrollmentBased on the most recent information from CMS, provider Octavio Perez Rodriguez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1417789629Provider TypeIndividualFull NamePerez Rodriguez, OctavioCredentialAPRNGenderMaleSole ProprietorYesEnumeration Date8/16/2024Last Updated8/16/2024Contact InformationPractice LocationPractice Address8221 SW 186th St, Cutler Bay, FL 33157-7353Phone(305) 495-6878FaxUnlisted FaxMailing LocationMailing Address8221 SW 186th St, Cutler Bay, FL 33157-7353Phone(305) 495-6878FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAPRN11034768FloridaCode163W00000XDescriptionRegistered NurseNursing Service ProvidersLicenseRN9420859Florida