Provider Demographics
NPI:1245397942
Name:RODRIGUEZ, BEATRIZ (PT)
Entity Type:Individual
Prefix:
First Name:BEATRIZ
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 431950
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33243-1950
Mailing Address - Country:US
Mailing Address - Phone:305-428-2790
Mailing Address - Fax:
Practice Address - Street 1:250 CATALONIA AVE STE 307
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-6730
Practice Address - Country:US
Practice Address - Phone:305-428-2790
Practice Address - Fax:305-428-2791
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2012-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT21357225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist