Doctor Name: | MAURICIO RODRIGUEZ |
NPI Number: | 1891047841 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.ED. |
License Number: | R362540654070 |
Business Practice Address: | 668 N Orlando Ave Suite 210 Maitland, FL - 327514473 |
Business Phone Number: | 4072610523 |
Business Fax Number: | |
Mailing Address: | 809 Governors Ave, ORLANDO |
State: | FL |
Postal Code: | 328087026 |
Phone Number: | 4073754748 |
Fax Number: | |
NPI Enumeration Date: | 10/15/2012 |
NPI Last Update Date: | 10/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | R362540654070 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |