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Caridel Rodriguez Rivero

Behavior Analyst

Behavioral Health & Social Service Providers

9907 NW 80th Way, Hialeah Gardens, FL 33016-2278

PECOS Enrollment

Based on the most recent information from CMS, provider Caridel Rodriguez Rivero does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1508342379
Provider Type
Individual
Full Name
Rodriguez Rivero, Caridel
Title
Ms.
Credential
OCCUPATIONAL THERAPY

Gender
Female
Sole Proprietor
Yes
Enumeration Date
7/16/2018
Last Updated
11/21/2024

Contact Information

Practice Location

9907 NW 80th Way, Hialeah Gardens, FL 33016-2278

(305) 316-5956

Unlisted Fax

Mailing Location

9907 NW 80th Way, Hialeah Gardens, FL 33016-2278

(305) 316-5956

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 103K00000X Primary	Description Behavior Analyst Behavioral Health & Social Service Providers	License 1-24-77483 Florida
Code 106S00000X	Description Behavior Technician Behavioral Health & Social Service Providers	License 23-289778 Florida
Code 225X00000X	Description Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License 15916 Florida

Caridel Rodriguez Rivero

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

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