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NPI Code Detail

MEDICARE: YADIRA X RODRIGUEZ

MEDICARE:   YADIRA X RODRIGUEZ
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
1106S00000XBehavior TechnicianRBT-22-251335FL

Other Identifiers

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

General Provider Information

NPI Number : 1164112272
Entity Type Code : Individual
Provider Name (Legal Business Name) : YADIRA X RODRIGUEZ
Provider Business Mailing Address
First Line : 726 SW 4TH TER
Second Line :
City : DANIA BEACH
State : FL
Zip : 33004-4920
Country : US
Telephone Number : 786-669-1790
Fax Number :
Provider Business Practice Location Address
First Line : 726 SW 4TH TER
Second Line :
City : DANIA BEACH
State : FL
Zip : 33004-4920
Country : US
Telephone Number : 786-669-1790
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2023
Last Update Date : 03/20/2026

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Directions to “ YADIRA X RODRIGUEZ ” Practice Location

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