Provider Demographics
NPI:1740179308
Name:RODRIGUEZ MARRERO, CLAUDIA VANESSA
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:VANESSA
Last Name:RODRIGUEZ MARRERO
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 1:517 MAYFLOWER RD
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33405-3619
Mailing Address - Country:US
Mailing Address - Phone:561-857-7777
Mailing Address - Fax:
Practice Address - Street 1:1631 NW SAINT LUCIE WEST BLVD
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34986-1963
Practice Address - Country:US
Practice Address - Phone:561-857-7777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician