Provider Demographics
NPI:1831568880
Name:RODRIGUEZ, NATALIE LOVE (BA)
Entity type:Individual
Prefix:MS
First Name:NATALIE
Middle Name:LOVE
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:461 HUNTER CIR
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34758-3329
Mailing Address - Country:US
Mailing Address - Phone:407-756-9171
Mailing Address - Fax:
Practice Address - Street 1:461 HUNTER CIR
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34758-3329
Practice Address - Country:US
Practice Address - Phone:407-756-9171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-21
Last Update Date:2015-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator