Provider Demographics
NPI:1598941999
Name:RODRIGUEZ-MENENDEZ, GERARDO FRANCISCO (PHD)
Entity Type:Individual
Prefix:DR
First Name:GERARDO
Middle Name:FRANCISCO
Last Name:RODRIGUEZ-MENENDEZ
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3119 CORAL WAY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33145-3209
Mailing Address - Country:US
Mailing Address - Phone:305-525-3629
Mailing Address - Fax:
Practice Address - Street 1:3119 CORAL WAY
Practice Address - Street 2:SUITE 200
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33145-3209
Practice Address - Country:US
Practice Address - Phone:305-525-3629
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-15
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL5490103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist