Healthcare Provider Details

I. General information

NPI: 1447916184
Provider Name (Legal Business Name): DANILO BATISTA RODRIGUEZ
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/16/2021
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8200 NW 41ST ST STE 247
DORAL FL
33166-6205
US

IV. Provider business mailing address

584 BRANTLEY TERRACE WAY UNIT 301
ALTAMONTE SPRINGS FL
32714-0829
US

V. Phone/Fax

Practice location:
  • Phone: 786-817-7444
  • Fax: 305-675-7738
Mailing address:
  • Phone: 407-486-2132
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-2841709
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: