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NPI Code Detail

MEDICARE: GEZABEL HERNANDEZ RODRIGUEZ RBT

MEDICARE:   GEZABEL  HERNANDEZ RODRIGUEZ  RBT
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
1106S00000XBehavior TechnicianRBT-15-07989

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124571393
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEZABEL HERNANDEZ RODRIGUEZ RBT
Provider Business Mailing Address
First Line : 10700 SW 46TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33165-4839
Country : US
Telephone Number : 786-484-8304
Fax Number :
Provider Business Practice Location Address
First Line : 10700 SW 46TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33165-4839
Country : US
Telephone Number : 786-484-8304
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2016
Last Update Date : 08/07/2023

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Directions to “ GEZABEL HERNANDEZ RODRIGUEZ RBT” Practice Location

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