Rodriguez, Cristina Isabel

Rodriguez, Cristina Isabel is an individual health care provider with primary practice located at 120 E New York Ave Ste B , Deland FL 32724-5527. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Rodriguez, Cristina Isabel can be contacted via phone (386) 327-5560.

Contact Information

Primary practice address
120 E New York Ave Ste B Deland FL 32724-5527
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1700479219
LBN Legal business name Rodriguez, Cristina Isabel
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2021
Last updated Feb 24th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700479219 NPPES
Florida MEDICAID 174425

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