Doctor Name: | MILKA T PREMRL RODRIGUEZ |
NPI Number: | 1467630160 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | L.M.T.,N.C.T.M.B. |
License Number: | MA52079 |
Business Practice Address: | 3310 Ponce De Leon Blvd Coral Gables, FL - 331347284 |
Business Phone Number: | 7864177234 |
Business Fax Number: | |
Mailing Address: | 29 Palermo Ave, CORAL GABLES |
State: | FL |
Postal Code: | 331346907 |
Phone Number: | 3054487409 |
Fax Number: | |
NPI Enumeration Date: | 02/05/2008 |
NPI Last Update Date: | 02/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA52079 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |