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NPI Code Detail

MEDICARE: MABEL CRISTINA RODRIGUEZ APRN, PMHNP-BC

MEDICARE:   MABEL CRISTINA RODRIGUEZ  APRN, PMHNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner2022093178FL
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN11024121FL

General Provider Information

NPI Number : 1033822705
Entity Type Code : Individual
Provider Name (Legal Business Name) : MABEL CRISTINA RODRIGUEZ APRN, PMHNP-BC
Provider Business Mailing Address
First Line : 2500 QUANTUM LAKES DR STE 203
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33426-8323
Country : US
Telephone Number : 561-704-7880
Fax Number : 561-678-5451
Provider Business Practice Location Address
First Line : 2500 QUANTUM LAKES DR STE 203
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33426-8323
Country : US
Telephone Number : 561-704-7880
Fax Number : 561-678-5451
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2022
Last Update Date : 03/03/2026

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