Individual ProviderDiego F RodriguezNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address13334 SW 111th Ter, Miami, FL 33186-4349(305) 878-5148PECOS EnrollmentBased on the most recent information from CMS, provider Diego F 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 yesterday at 12:57 PM.Profile DetailsProvider ID1609388784Provider TypeIndividualFull NameRodriguez, Diego FCredentialCRNAGenderMaleSole ProprietorYesEnumeration Date10/30/2017Last Updated1/18/2018Contact InformationPractice LocationPractice Address13334 SW 111th Ter, Miami, FL 33186-4349Phone(305) 878-5148FaxUnlisted FaxMailing LocationMailing Address13334 SW 111th Ter, Miami, FL 33186-4349Phone(305) 878-5148FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode367500000XPrimaryDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicenseARNP9320955FloridaCode163W00000XDescriptionRegistered NurseNursing Service ProvidersLicenseRN9320955Florida