Individual
MR. JEANCARLOS RODRIGUEZ I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14178 SW 164TH TER, MIAMI, FL 33177-2060
(786) 329-3669
Mailing address
14178 SW 164TH TER, MIAMI, FL 33177-2060
(786) 329-3669
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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