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Organization

RODRIGUEZ COMMUNITY CENTER CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. YELIAN DIAZ ALVAREZ (AUTHORIZED OFFICIAL)
(305) 497-2625
Entity
Organization

Contact information

Practice address
1301 PALM AVE UNIT 102, HIALEAH, FL 33010-3461
(305) 497-2625
Mailing address
1301 PALM AVE UNIT 102, HIALEAH, FL 33010-3461
(305) 497-2625

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
261Q00000X
Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
109975600
FL
Enumeration date
03/23/2021
Last updated
08/28/2025
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