Provider Demographics
NPI:1992699797
Name:RODRIGUEZ CABEZAS, MAYIRELIS
Entity type:Individual
Prefix:
First Name:MAYIRELIS
Middle Name:
Last Name:RODRIGUEZ CABEZAS
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 1:1305 W 53RD ST APT 404
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-3018
Mailing Address - Country:US
Mailing Address - Phone:346-363-4147
Mailing Address - Fax:
Practice Address - Street 1:1305 W 53RD ST APT 404
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-3018
Practice Address - Country:US
Practice Address - Phone:346-363-4147
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-05
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty