Individual
ALVARO RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18505 NW 75TH PL, HIALEAH, FL 33015-2961
(786) 479-0029
Mailing address
11321 SW 203RD TER, MIAMI, FL 33189-1146
(786) 372-4910
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
20-118601
FL
Other
Enumeration date
05/20/2020
Last updated
05/20/2020
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