Luis Giovanny Rodriguez Huertas

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

R362527820260 Issued in FL

Practice address

5449 S Semoran Blvd Ste 20
Orlando, FL 32822-1778

Phone

(407) 734-1273

NPI assigned

Apr 19, 2022

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Professional Psychiatric Services, LLC

  • Community/Behavioral Health Agency
  • Orlando, FL
  • NPI 1679562797

  Single Specialty

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1650326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1124761820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 GRANDEWOOD BLVD APT 1133",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328377376",
            "telephone_number": "786-582-8837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5449 S SEMORAN BLVD STE 20",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328221778",
            "telephone_number": "407-734-1273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ HUERTAS",
        "first_name": "LUIS",
        "middle_name": "GIOVANNY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-19",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "R362527820260",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "R362527820260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina A. Rodriguez Gil
• Francisco Steven Rodriguez Gomez, MD
• Maria D Rodriguez Gomez
• Susana Rodriguez Gomez
• Rosmery Rodriguez Gonzalez
• Jose Gregorio Rodriguez Lantigua, DMD
• Eyleen Rodriguez Liscano
• Rachel Rodriguez Lopez
• Samantha Rodriguez Maldonado, PA
• Yomayra Rodriguez Marin, MD

• Mental Health Counselor in Orlando, FL
• Providers in Orlando, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.