Provider Demographics
NPI:1043746415
Name:RODRIGUEZ, MARIA OFELIA (MOR)
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:OFELIA
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:MOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9350 FONTAINEBLEAU BLVD APT C512
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33172-4658
Mailing Address - Country:US
Mailing Address - Phone:786-613-3812
Mailing Address - Fax:786-801-1724
Practice Address - Street 1:9350 FONTAINEBLEAU BLVD APT C512
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33172-4658
Practice Address - Country:US
Practice Address - Phone:786-613-3812
Practice Address - Fax:786-801-1724
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-04
Last Update Date:2017-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSI 26262355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant