Provider Demographics
NPI:1447772132
Name:RODRIGUEZ, LUZ ELIBERKA (MA)
Entity Type:Individual
Prefix:MS
First Name:LUZ
Middle Name:ELIBERKA
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2478 LAKE DEBRA DR APT 12101
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-6696
Mailing Address - Country:US
Mailing Address - Phone:407-844-3652
Mailing Address - Fax:
Practice Address - Street 1:2478 LAKE DEBRA DR APT 12101
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-6696
Practice Address - Country:US
Practice Address - Phone:407-844-3652
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health