Healthcare Provider Details

I. General information

NPI: 1801592548
Provider Name (Legal Business Name): SHEYLA MENDEZ RODRIGUEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/03/2023
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1225 S MILITARY TRL STE E
WEST PALM BEACH FL
33415-4630
US

IV. Provider business mailing address

7591 LANTANA RD
LAKE WORTH FL
33467-6455
US

V. Phone/Fax

Practice location:
  • Phone: 561-328-8312
  • Fax: 561-584-5033
Mailing address:
  • Phone: 561-888-2253
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License NumberSI6103
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: