Provider Demographics
NPI:1477580835
Name:RODRIGUEZ, MARIA D (OT)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:D
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5200 SW 8TH STREET
Mailing Address - Street 2:SUITE 111 113
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-2300
Mailing Address - Country:US
Mailing Address - Phone:305-648-1020
Mailing Address - Fax:305-648-1020
Practice Address - Street 1:5200 SW 8TH ST
Practice Address - Street 2:SUITE 111/113
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-2300
Practice Address - Country:US
Practice Address - Phone:305-476-1213
Practice Address - Fax:305-476-1464
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2007-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT8108225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE7295YOtherMEDICARE
FLE7295YOtherMEDICARE