Provider Demographics
NPI:1538416979
Name:RODRIGUEZ, GABRIEL MARTIN
Entity type:Individual
Prefix:MR
First Name:GABRIEL
Middle Name:MARTIN
Last Name:RODRIGUEZ
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 1:8960 SW 133RD PL APT F
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-1674
Mailing Address - Country:US
Mailing Address - Phone:305-397-5340
Mailing Address - Fax:305-380-7892
Practice Address - Street 1:8960 SW 133RD PL APT F
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-1674
Practice Address - Country:US
Practice Address - Phone:305-397-5340
Practice Address - Fax:305-380-7892
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-03
Last Update Date:2012-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist