Individual
RJESUS LUIS RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ADULT LIVING FACILIT
Contact information
Practice address
220 NW 179TH ST, MIAMI GARDENS, FL 33169-4910
(305) 454-9202
(305) 454-9202
Mailing address
220 NW 179TH ST, MIAMI GARDENS, FL 33169-4910
(305) 454-9202
(305) 454-9202
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
AL12078
FL
Other
Enumeration date
08/12/2012
Last updated
08/12/2012
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