Provider Demographics
NPI:1336031210
Name:RODRIGUEZ, CELESTE (CBHCM 0107793P)
Entity type:Individual
Prefix:
First Name:CELESTE
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:CBHCM 0107793P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1142 NE 41ST TER
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33033-5867
Mailing Address - Country:US
Mailing Address - Phone:305-452-2142
Mailing Address - Fax:
Practice Address - Street 1:1142 NE 41ST TER
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33033-5867
Practice Address - Country:US
Practice Address - Phone:305-452-2142
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator