MEDICARE: GERONIMO RODRIGUEZ CBHCM

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	104100000X	Social Worker

Other Identifiers

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

General Provider Information

NPI Number	:	1316400062
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GERONIMO RODRIGUEZ CBHCM

Provider Business Mailing Address
First Line	:	801 S FEDERAL HWY STE 835
Second Line	:
City	:	DANIA BEACH
State	:	FL
Zip	:	33004-4374
Country	:	US
Telephone Number	:	954-613-7683
Fax Number	:	954-613-7693

Provider Business Practice Location Address
First Line	:	801 S FEDERAL HWY STE 835
Second Line	:
City	:	DANIA BEACH
State	:	FL
Zip	:	33004-4374
Country	:	US
Telephone Number	:	954-613-7683
Fax Number	:	954-613-7693

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

Provider Enumeration Date	:	04/10/2019
Last Update Date	:	04/16/2019

Similar Medicare Providers

1215880273 — MEHDI DENTAL LLC
Practice Location Address:

801 S FEDERAL HWY
DANIA BEACH, FL
33004-4374

Practice Phone: 305-999-5122
Practice Fax:

1184631285 — M.I.R. MEDICAL EQUIPMENTS
Practice Location Address:

801 S FEDERAL HWY , STE 815
DANIA, FL
33004-4374

Practice Phone: 954-925-7425
Practice Fax: 954-925-5363

1174916050 — SUNHEART DENTAL
Practice Location Address:

801 S FEDERAL HWY , SUITE #829
DANIA BEACH, FL
33004-4374

Practice Phone: 954-925-2977
Practice Fax:

1366394884 — HOLO WELLSPRING
Practice Location Address:

1413 S PATRICK DR STE 3
SATELLITE BEACH, FL
32937-4374

Practice Phone: 321-432-5550
Practice Fax:

1164757498 — EDWIN CRUZ MD & CO. INC.
Practice Location Address:

1712 STONE CHURCH MEWS
VIRGINIA BEACH, VA
23455-4374

Practice Phone: 757-460-7447
Practice Fax:

1457959223 — HOWARD JOSEPH BARON DC
Practice Location Address:

360 SHORE RD APT 6B
LONG BEACH, NY
11561-4374

Practice Phone: 516-330-1628
Practice Fax:

Directions to “ GERONIMO RODRIGUEZ CBHCM” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.