Provider Demographics
NPI:1174296974
Name:ROBLES IGLESIAS, ANNEL (FNP)
Entity Type:Individual
Prefix:
First Name:ANNEL
Middle Name:
Last Name:ROBLES IGLESIAS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11155 SW 5TH PL APT 307
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33025-6974
Mailing Address - Country:US
Mailing Address - Phone:954-332-8486
Mailing Address - Fax:
Practice Address - Street 1:11155 SW 5TH PL APT 307
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33025-6974
Practice Address - Country:US
Practice Address - Phone:954-332-8486
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-28
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLF07210899363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily