Provider Demographics
NPI:1376332825
Name:RODRIGUEZ, LEANET MARGRAITA (CBHCM)
Entity type:Individual
Prefix:
First Name:LEANET
Middle Name:MARGRAITA
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:CBHCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:502 NW 87TH AVE APT 101
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33172-5717
Mailing Address - Country:US
Mailing Address - Phone:786-449-9799
Mailing Address - Fax:
Practice Address - Street 1:502 NW 87TH AVE APT 101
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33172-5717
Practice Address - Country:US
Practice Address - Phone:786-449-9799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0103061171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator