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NPI Code Detail

MEDICARE: KENIA RODRIGUEZ CBHCMS

MEDICARE: KENIA 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
1104100000XSocial Worker

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 : 1689975815
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENIA RODRIGUEZ CBHCMS
Provider Business Mailing Address
First Line : 14280 SW 47TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33175-4320
Country : US
Telephone Number : 786-728-1460
Fax Number : 786-452-1200
Provider Business Practice Location Address
First Line : 15924 SW 92ND AVE
Second Line :
City : PALMETTO BAY
State : FL
Zip : 33157-1842
Country : US
Telephone Number : 786-728-1460
Fax Number : 786-452-1200
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2010
Last Update Date : 10/02/2021

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Directions to “ KENIA RODRIGUEZ CBHCMS” Practice Location

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