MEDICARE: VIVIEN C RODRIGUEZ M.S., CCC-SLP

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	235Z00000X	Speech-Language Pathologist		FL

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	:	1841862711
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIVIEN C RODRIGUEZ M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	5154 SW 7TH ST
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-1372
Country	:	US
Telephone Number	:	305-297-3667
Fax Number	:

Provider Business Practice Location Address
First Line	:	5154 SW 7TH ST
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-1372
Country	:	US
Telephone Number	:	305-297-3667
Fax Number	:

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

Provider Enumeration Date	:	07/12/2021
Last Update Date	:	07/12/2021

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Directions to “ VIVIEN C RODRIGUEZ M.S., CCC-SLP” Practice Location

Language	Start Address	Practice Location

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