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NPI Code Detail

MEDICARE: NEMESIO G RODRIGUEZ RODRIGUEZ

MEDICARE: NEMESIO G RODRIGUEZ RODRIGUEZ
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
1103K00000XBehavior Analyst1-17-27615FL

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 : 1588011191
Entity Type Code : Individual
Provider Name (Legal Business Name) : NEMESIO G RODRIGUEZ RODRIGUEZ
Provider Business Mailing Address
First Line : 14854 SW 148TH STREET CIR STE 201
Second Line :
City : MIAMI
State : FL
Zip : 33196-2309
Country : US
Telephone Number : 786-366-5209
Fax Number :
Provider Business Practice Location Address
First Line : 12485 SW 137TH AVE STE 106
Second Line :
City : MIAMI
State : FL
Zip : 33186-4215
Country : US
Telephone Number : 786-250-4423
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2016
Last Update Date : 09/25/2024

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Directions to “ NEMESIO G RODRIGUEZ RODRIGUEZ ” Practice Location

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