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Individual

DR. MARIA C RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
6625 MIAMI LAKES DR, SUITE 377, MIAMI LAKES, FL 33014-2708
(305) 779-8593
(305) 779-8598
Mailing address
6625 MIAMI LAKES DR, SUITE 377, MIAMI LAKES, FL 33014-2708
(305) 779-8593
(305) 779-8598

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY0004566
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080182
VALUE OPTIONS MHS NUMBER
FL
01
084496
MHN PROVIDER NUMBER
FL
01
10680
DIMENSION HEALTH PROVIDER
FL
01
208564
AV MED PROVIDER ID
FL
01
28145
HEALTH EASE PROVIDER ID
FL
01
9047512
PHES PJD NUMBER
FL
Enumeration date
08/30/2006
Last updated
12/31/2010
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