Individual
JADIRA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
790 NW 107TH AVE STE 110, MIAMI, FL 33172-3100
(305) 964-5426
(305) 964-5627
Mailing address
6465 W 13TH CT, HIALEAH, FL 33012-6340
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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