Provider Demographics
NPI:1871860247
Name:RODRIGUEZ, LMFT, MARIA A
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:A
Last Name:RODRIGUEZ, LMFT
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 1:9495 SW 72ND ST
Mailing Address - Street 2:SUITE B-294
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3253
Mailing Address - Country:US
Mailing Address - Phone:305-305-5819
Mailing Address - Fax:305-474-7530
Practice Address - Street 1:9495 SW 72ND ST
Practice Address - Street 2:SUITE B-294
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3253
Practice Address - Country:US
Practice Address - Phone:305-305-5819
Practice Address - Fax:305-474-7530
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-29
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT2481106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist