Provider Demographics
NPI:1225886443
Name:RODRIGUEZ CRUZ, DANIEL FRANCISCO
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:FRANCISCO
Last Name:RODRIGUEZ CRUZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14433 CHINESE ELM DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-4837
Mailing Address - Country:US
Mailing Address - Phone:407-956-7172
Mailing Address - Fax:
Practice Address - Street 1:2521 13TH ST STE F
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34769-4103
Practice Address - Country:US
Practice Address - Phone:407-900-4885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-13
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health