Provider Demographics
NPI:1154123818
Name:RODRIGUEZ NUNEZ, RIGOBERTO ISMET
Entity type:Individual
Prefix:
First Name:RIGOBERTO
Middle Name:ISMET
Last Name:RODRIGUEZ NUNEZ
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1024 MARLOW AVE
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34606-5852
Mailing Address - Country:US
Mailing Address - Phone:305-300-7519
Mailing Address - Fax:
Practice Address - Street 1:1024 MARLOW AVE
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34606-5852
Practice Address - Country:US
Practice Address - Phone:305-300-7519
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician