Individual
JANETTE MATIAS RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8785 SW 165TH AVE STE 101, MIAMI, FL 33193-5827
(305) 388-8009
Mailing address
343 W 44TH ST, HIALEAH, FL 33012-3922
(305) 326-2945
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
222Q00000X
DEVELOPMENT TERAPIST
FL
05
—
222Q00000X
—
FL
Enumeration date
05/28/2018
Last updated
10/30/2022
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