Provider Demographics
NPI:1386246254
Name:RODRIGUEZ GIL, ALFREDO (ARNP)
Entity type:Individual
Prefix:
First Name:ALFREDO
Middle Name:
Last Name:RODRIGUEZ GIL
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11021 NW 21ST ST
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-5732
Mailing Address - Country:US
Mailing Address - Phone:786-378-2542
Mailing Address - Fax:
Practice Address - Street 1:1479 NW 27TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-2133
Practice Address - Country:US
Practice Address - Phone:305-633-3776
Practice Address - Fax:305-633-4240
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-14
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLF11200231363LF0000X
FL11010334363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily