Provider Demographics
NPI:1033895784
Name:RODRIGUEZ-LOPEZ, ENIL (MSW)
Entity Type:Individual
Prefix:
First Name:ENIL
Middle Name:
Last Name:RODRIGUEZ-LOPEZ
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2901 CURRY FORD RD STE 106
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-3353
Mailing Address - Country:US
Mailing Address - Phone:407-203-5984
Mailing Address - Fax:407-930-6070
Practice Address - Street 1:2901 CURRY FORD RD STE 106
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-3353
Practice Address - Country:US
Practice Address - Phone:407-203-5984
Practice Address - Fax:407-930-6070
Is Sole Proprietor?:No
Enumeration Date:2023-06-27
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker