Julieta Rodriguez PA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY6411 Issued in ZZ

Legal business name

JULIETA RODRIGUEZ PA

Practice address

407 Lincoln Rd
#6K
Miami Beach, FL 33139

Phone

(305) 672-1104

Fax

(305) 672-1385

NPI assigned

Apr 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Julieta Raquel Rodriguez, PHDNPI 1528100179

Title

President Owner

Phone

(305) 672-1104

Specialties & licenses 1

Addresses

Other names 1

• Group Other name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julieta Raquel Rodriguez, PHD

  • Clinical Psychologist
  • Miami, FL
  • NPI 1528100179
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1790950236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 LINCOLN RD",
            "address_2": "#6K",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "33139",
            "telephone_number": "305-672-1104",
            "fax_number": "305-672-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 LINCOLN RD",
            "address_2": "#6K",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "33139",
            "telephone_number": "305-672-1104",
            "fax_number": "305-672-1385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIETA RODRIGUEZ PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JULIETA",
        "authorized_official_middle_name": "RAQUEL",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "305-672-1104",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "ZZ",
            "license": "PY6411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ruben Yossef Moche Journo
• Juan J Rivera MD PA
• Juan R. Bolet, M.D.P.a
• Juan R. Canals MD PA
• Monika Patricia Juliao, MS-SLP
• Julme Family Medicine Inc
• Yolimar M Jurasek, LMT
• Federico Justiniani, MD
• Michele Kabat, LCSW
• Lauren Kagan, M.D.

• Clinical Psychologist in Miami Beach, FL
• Providers in Miami Beach, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.