Provider Demographics
NPI:1336974856
Name:RODRIGUEZ DE LA PAZ, BETSY
Entity type:Individual
Prefix:
First Name:BETSY
Middle Name:
Last Name:RODRIGUEZ DE LA PAZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:706 NW 87TH AVE APT 310
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33172-3429
Mailing Address - Country:US
Mailing Address - Phone:305-784-7909
Mailing Address - Fax:
Practice Address - Street 1:706 NW 87TH AVE APT 310
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33172-3429
Practice Address - Country:US
Practice Address - Phone:305-784-7909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services