Provider Demographics
NPI:1861840480
Name:RODRIGUEZ SANCHEZ, ALINA
Entity Type:Individual
Prefix:MRS
First Name:ALINA
Middle Name:
Last Name:RODRIGUEZ SANCHEZ
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 1:27660 SW 135TH AVENUE RD
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-2568
Mailing Address - Country:US
Mailing Address - Phone:786-340-5214
Mailing Address - Fax:
Practice Address - Street 1:27660 SW 135TH AVENUE RD
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33032-2568
Practice Address - Country:US
Practice Address - Phone:786-340-5214
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-25
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL021179200Medicaid