Provider Demographics
NPI:1497519011
Name:RODRIGUEZ RAMOS, MEILYN (PSYD)
Entity Type:Individual
Prefix:
First Name:MEILYN
Middle Name:
Last Name:RODRIGUEZ RAMOS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10300 SUNSET DR STE 123
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3001
Mailing Address - Country:US
Mailing Address - Phone:305-302-4776
Mailing Address - Fax:305-468-6351
Practice Address - Street 1:10300 SUNSET DR STE 123
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3001
Practice Address - Country:US
Practice Address - Phone:305-302-4776
Practice Address - Fax:305-468-6351
Is Sole Proprietor?:No
Enumeration Date:2024-02-13
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY12037103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical