Provider Demographics
NPI:1003363060
Name:M A R MENTAL HEALTH SERVICES INC.
Entity Type:Organization
Organization Name:M A R MENTAL HEALTH SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:RODIL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-608-2582
Mailing Address - Street 1:PO BOX 566060
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33256-6060
Mailing Address - Country:US
Mailing Address - Phone:305-608-2582
Mailing Address - Fax:
Practice Address - Street 1:1394 SW 22ND ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-2960
Practice Address - Country:US
Practice Address - Phone:305-860-1777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-07
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLACN 847261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health