Provider Demographics
NPI:1518442003
Name:CALCINES RODRIGUEZ, AYELEXI
Entity Type:Individual
Prefix:
First Name:AYELEXI
Middle Name:
Last Name:CALCINES RODRIGUEZ
Suffix:
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 1:151 SE 8TH ST APT 211
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33030-7402
Mailing Address - Country:US
Mailing Address - Phone:786-857-1057
Mailing Address - Fax:
Practice Address - Street 1:151 SE 8TH ST APT 211
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33030-7402
Practice Address - Country:US
Practice Address - Phone:786-857-1057
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-01
Last Update Date:2018-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator