MEDICARE: RODAA INC

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1194317669
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RODAA INC

Provider Business Mailing Address
First Line	:	306 ALCAZAR AVE STE 301
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-4318
Country	:	US
Telephone Number	:	786-359-4814
Fax Number	:	786-359-4822

Provider Business Practice Location Address
First Line	:	306 ALCAZAR AVE STE 301
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-4318
Country	:	US
Telephone Number	:	786-359-4814
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	VICENTE SANCHEZ
Credential	:
Telephone Number	:	786-889-0053

Provider Enumeration Date	:	02/06/2021
Last Update Date	:	10/25/2023

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Directions to “RODAA INC ” Practice Location

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