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NPI Code Detail

MEDICARE: MERIDITH KARIN CORTES RODRIGUEZ

MEDICARE:   MERIDITH KARIN CORTES 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-20-124174FL

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 : 1558989418
Entity Type Code : Individual
Provider Name (Legal Business Name) : MERIDITH KARIN CORTES RODRIGUEZ
Provider Business Mailing Address
First Line : 285 NW 46TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33126-5366
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 285 NW 46TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33126-5366
Country : US
Telephone Number : 786-329-9072
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2020
Last Update Date : 07/08/2020

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Directions to “ MERIDITH KARIN CORTES RODRIGUEZ ” Practice Location

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