Individual
DR. IVAN GABRIEL RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
14499 N DALE MABRY HWY STE 130-S, TAMPA, FL 33618-2078
(813) 530-1414
Mailing address
14499 N DALE MABRY HWY STE 130-S, TAMPA, FL 33618-2078
(813) 530-1414
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY11209
FL
103TC0700X
Clinical Psychologist
PY11209
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A3858
BLUE CROSS BLUE SHIELD
FL
Enumeration date
03/03/2019
Last updated
12/13/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us