Provider Demographics
NPI:1346912227
Name:RODRIGUEZ VALDES, FRANCIS I
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:
Last Name:RODRIGUEZ VALDES
Suffix:I
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8067 W 36TH AVE APT 4
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33018-1802
Mailing Address - Country:US
Mailing Address - Phone:305-303-0474
Mailing Address - Fax:
Practice Address - Street 1:8067 W 36TH AVE APT 4
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33018-1802
Practice Address - Country:US
Practice Address - Phone:305-303-0474
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-29
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL21-155577106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician