Provider Demographics
NPI:1467221861
Name:RODRIGUEZ MUNOZ, ANNALIE DE LA CARIDAD (CM)
Entity Type:Individual
Prefix:
First Name:ANNALIE
Middle Name:DE LA CARIDAD
Last Name:RODRIGUEZ MUNOZ
Suffix:
Gender:F
Credentials:CM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 ORIOLE AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33166-3846
Mailing Address - Country:US
Mailing Address - Phone:305-922-8101
Mailing Address - Fax:
Practice Address - Street 1:1001 ORIOLE AVE
Practice Address - Street 2:
Practice Address - City:MIAMI SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33166-3846
Practice Address - Country:US
Practice Address - Phone:305-922-8101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-27
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator