Healthcare Provider Details

I. General information

NPI: 1508778267
Provider Name (Legal Business Name): DIANA RODAS-FRANCO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3625 NW 82ND AVE
DORAL FL
33166-6652
US

IV. Provider business mailing address

3480 NW 85TH CT APT 501 SUITE 400
DORAL FL
33122-1966
US

V. Phone/Fax

Practice location:
  • Phone: 786-442-7370
  • Fax:
Mailing address:
  • Phone: 786-442-7370
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number28600
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: