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NPI Code Detail

MEDICARE: RACIEL RODRIGUEZ

MEDICARE:   RACIEL  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-25-475849FL

General Provider Information

NPI Number : 1639033699
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACIEL RODRIGUEZ
Provider Business Mailing Address
First Line : 15801 NW 52ND AVE APT 307
Second Line :
City : MIAMI LAKES
State : FL
Zip : 33014-6215
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 15801 NW 52ND AVE APT 307
Second Line :
City : MIAMI LAKES
State : FL
Zip : 33014-6215
Country : US
Telephone Number : 786-901-4462
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2025
Last Update Date : 12/15/2025

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Directions to “ RACIEL RODRIGUEZ ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.