Provider Demographics
NPI:1710409636
Name:RODRIGUEZ, ARMANDO (LATC)
Entity Type:Individual
Prefix:
First Name:ARMANDO
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:M
Credentials:LATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9975 BOCA GARDENS TRL
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33496-3730
Mailing Address - Country:US
Mailing Address - Phone:561-302-3321
Mailing Address - Fax:
Practice Address - Street 1:9975 BOCA GARDENS TRAIL, UNIT C
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33496
Practice Address - Country:US
Practice Address - Phone:561-302-3321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer