Individual provider · Type 1 NPI

Juan Felipe Rodriguez Riascos, MD

Student in an Organized Health Care Education/Training Program · Miami, FL

NPI number 1104767193 Active

Practice location

1611 NW 12th Ave
Miami, FL 33136-1005

Call (305) 355-1122 Map

Mailing address

7340 E Legacy Blvd Unit C3006
Scottsdale, AZ 85255-6389

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104767193

Juan Felipe Rodriguez Riascos, MD's National Provider Identifier is 1104767193, issued on Apr 2, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Miami, FL. The record was last updated on Apr 2, 2026.