Mariel D Paulino Rodriguez
Individual provider Active NPI Registered Nurse · Bronx, NY
NPI 1821978701 · NPPES record last updated Sep 3, 2025
Key facts
- NPI
- 1821978701
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 750271-01 (NY)
- Practice address
- 1710 Fowler Ave BSMT
BSMT
Bronx, NY 10462-4044 - Phone
- (347) 257-7829
- NPI assigned
- Sep 3, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 750271-01 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 750271-01 | NY | Yes |
Addresses
Primary practice location
1710 Fowler Ave BSMT
BSMT
Bronx, NY 10462-4044
Mailing address
1710 Fowler Ave BSMT
Bronx, NY 10462-4044
Phone (347) 257-7829
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.