Provider Demographics
NPI:1386324234
Name:RODRIGUEZ GINORY, GILMA MARGARITA
Entity type:Individual
Prefix:
First Name:GILMA
Middle Name:MARGARITA
Last Name:RODRIGUEZ GINORY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7732 NW 197TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-6398
Mailing Address - Country:US
Mailing Address - Phone:786-301-7275
Mailing Address - Fax:
Practice Address - Street 1:7732 NW 197TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-6398
Practice Address - Country:US
Practice Address - Phone:786-301-7275
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-24
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician