Provider Demographics
NPI:1710335054
Name:SANCHEZ RODRIGUEZ, MAISBEL
Entity type:Individual
Prefix:
First Name:MAISBEL
Middle Name:
Last Name:SANCHEZ RODRIGUEZ
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11965 SW 19TH LN APT 214
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-1686
Mailing Address - Country:US
Mailing Address - Phone:786-230-6600
Mailing Address - Fax:
Practice Address - Street 1:11965 SW 19TH LN APT 214
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-1686
Practice Address - Country:US
Practice Address - Phone:786-230-6600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-26
Last Update Date:2025-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-24-76971103K00000X, 103K00000X
247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other