Provider Demographics
NPI:1144937277
Name:RODRIGUEZ ORTEGA, GABRIELA NICOLE (PA)
Entity type:Individual
Prefix:
First Name:GABRIELA
Middle Name:NICOLE
Last Name:RODRIGUEZ ORTEGA
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:1003 ASPRI WAY
Mailing Address - Street 2:
Mailing Address - City:RIVIERA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33418-6516
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2101 E 48TH AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80216-2253
Practice Address - Country:US
Practice Address - Phone:303-458-5302
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-28
Last Update Date:2023-04-13
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant