Mauricio Rodriguez, M.ED.
Individual provider Active NPI Counselor · Maitland, FL
NPI 1891047841 · NPPES record last updated Oct 15, 2012
Key facts
- NPI
- 1891047841
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- R362540654070 (FL)
- Practice address
- 668 N Orlando Ave
Suite 210
Maitland, FL 32751-4473 - Phone
- (407) 261-0523
- NPI assigned
- Oct 15, 2012
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R362540654070 | FL | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | R362540654070 | FL | Yes |
Addresses
Primary practice location
668 N Orlando Ave
Suite 210
Maitland, FL 32751-4473
Mailing address
809 Governors Ave
Orlando, FL 32808-7026
Phone (407) 375-4748
Other providers in Maitland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.