MEDICARE: DAYLIN RODRIGUEZ CESAR MA, LPC, LCPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	0701014533	VA
2	101YP2500X	Professional Counselor	02998	KS
3	101YP2500X	Professional Counselor	2013008259	MO
4	101YM0800X	Mental Health Counselor	TPMC5495	FL

General Provider Information

NPI Number	:	1053718742
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAYLIN RODRIGUEZ CESAR MA, LPC, LCPC

Provider Business Mailing Address
First Line	:	14629 SW 104TH ST STE 442
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33186-2905
Country	:	US
Telephone Number	:	913-890-3876
Fax Number	:

Provider Business Practice Location Address
First Line	:	14629 SW 104TH ST STE 442
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33186-2905
Country	:	US
Telephone Number	:	913-890-3876
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/25/2014
Last Update Date	:	03/04/2025

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