MEDICARE: ROSIRENEE QUESADA RODRIGUEZ CBHCMS

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
1	171M00000X	Case Manager/Care Coordinator	CBHCM-P101981	FL
2	103K00000X	Behavior Analyst	CBHCM-P101981	FL
3	101YM0800X	Mental Health Counselor	IMH29288	FL
4	104100000X	Social Worker	CBHCMS0102613	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073270179
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSIRENEE QUESADA RODRIGUEZ CBHCMS

Provider Business Mailing Address
First Line	:	1950 W 54TH ST APT 418
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-2114
Country	:	US
Telephone Number	:	786-715-3086
Fax Number	:

Provider Business Practice Location Address
First Line	:	1840 W 49TH ST STE 727
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-2973
Country	:	US
Telephone Number	:	786-715-3086
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/23/2021
Last Update Date	:	05/27/2026

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Directions to “ ROSIRENEE QUESADA RODRIGUEZ CBHCMS” Practice Location

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