Individual
OMAR MODESTO RODRIGUEZ ORIHUELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10006 SW 222ND ST, CUTLER BAY, FL 33190-1563
(786) 663-1939
Mailing address
10006 SW 222ND ST, CUTLER BAY, FL 33190-1563
(786) 663-1939
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
101418
FL
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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