Provider Demographics
NPI:1316679897
Name:MORALES RODRIGUEZ, PAOLA MONIQUE (MS)
Entity type:Individual
Prefix:
First Name:PAOLA
Middle Name:MONIQUE
Last Name:MORALES RODRIGUEZ
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 BANYON TREE CIR APT 100
Mailing Address - Street 2:
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-5953
Mailing Address - Country:US
Mailing Address - Phone:787-461-6360
Mailing Address - Fax:
Practice Address - Street 1:404 BANYON TREE CIR APT 100
Practice Address - Street 2:
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-5953
Practice Address - Country:US
Practice Address - Phone:787-461-6360
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-24
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health