Healthcare Provider Details

I. General information

NPI: 1154284321
Provider Name (Legal Business Name): ADBEEL MANUEL RODRIGUEZ SANCHEZ
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/04/2025
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

704 WASHINGTON AVE FL 2
HOMESTEAD FL
33030-6012
US

IV. Provider business mailing address

10850 W FLAGLER ST APT D303
MIAMI FL
33174-1428
US

V. Phone/Fax

Practice location:
  • Phone: 305-481-2198
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-25-489731
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: