Individual
RAISEL RODRIGUEZ DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1501 NW 29TH ST, MIAMI, FL 33142-6623
(786) 825-3301
Mailing address
999 NW 7TH ST APT 305, MIAMI, FL 33136-3165
(786) 825-3301
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
2355S0801X
Speech-Language Assistant
Primary
SI8074
FL
Other
Enumeration date
06/25/2025
Last updated
09/25/2025
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