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

Vivian Revilla Rodriguez, FNP

Individual provider Family Nurse Practitioner · NPI 1003329269

Vivian Revilla Rodriguez, FNP is a Nurse Practitioner in Miami, Florida. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2017
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1600 NE Miami Gardens Dr
Miami, FL 33179-4900
Phone: (786) 248-5374
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11039107 (FL)

Record details

NPI number1003329269
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedNovember 9, 2017
Last updated in NPPESAugust 14, 2025
Certification dateAugust 14, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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