Healthcare Provider Details

I. General information

NPI: 1518883776
Provider Name (Legal Business Name): EMILY MERIDA RODRIGUEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1881 WORCESTER RD
FRAMINGHAM MA
01701-5410
US

IV. Provider business mailing address

71 MOULTON ST
LYNN MA
01905-1881
US

V. Phone/Fax

Practice location:
  • Phone: 508-628-6300
  • Fax:
Mailing address:
  • Phone: 781-215-1997
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: