Provider Demographics
NPI:1730672684
Name:RODRIGUEZ-MENA, CANDEN S
Entity Type:Individual
Prefix:
First Name:CANDEN
Middle Name:S
Last Name:RODRIGUEZ-MENA
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 1:7951 NE BAYSHORE CT APT 2012E
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33138-6450
Mailing Address - Country:US
Mailing Address - Phone:305-833-9582
Mailing Address - Fax:
Practice Address - Street 1:7951 NE BAYSHORE CT APT 2012E
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33138-6450
Practice Address - Country:US
Practice Address - Phone:305-833-9582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-14
Last Update Date:2018-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst