Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Marielys Janice Rodriguez Distasi, DMD

Individual provider Dentist · NPI 1760173777

Dr. Marielys Janice Rodriguez Distasi, DMD is a Dentist in Riverview, Florida. Licensed in Florida. Registered with an NPI since 2023.

Licensed in
FL
In the registry since
2023
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

10672 Bloomingdale Ave Unit 102
Riverview, FL 33578-4291
Phone: (813) 454-0776
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 30649 (FL)

Record details

NPI number1760173777
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedMay 19, 2023
Last updated in NPPESApril 8, 2026
Certification dateApril 8, 2026

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