Healthcare Provider Details

I. General information

NPI: 1811239445
Provider Name (Legal Business Name): BARBARA RODRIGUEZ FNP-C, LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2013
Last Update Date: 09/19/2024
Certification Date: 09/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7961 SW 104TH ST
MIAMI FL
33156-3664
US

IV. Provider business mailing address

7961 SW 104TH ST APT B202
MIAMI FL
33156-8124
US

V. Phone/Fax

Practice location:
  • Phone: 305-725-1225
  • Fax:
Mailing address:
  • Phone: 305-725-1225
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH 12049
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberAPRN11000735
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11000735
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: