Provider Demographics
NPI:1366938193
Name:RODRIGEZ, ARISBEIDIS (MED)
Entity type:Individual
Prefix:
First Name:ARISBEIDIS
Middle Name:
Last Name:RODRIGEZ
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 CANOE TRAIL LN
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32825-3336
Mailing Address - Country:US
Mailing Address - Phone:407-255-4794
Mailing Address - Fax:
Practice Address - Street 1:333 CANOE TRAIL LN
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32825-3336
Practice Address - Country:US
Practice Address - Phone:407-255-4794
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-04
Last Update Date:2021-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management