Provider Demographics
NPI:1467115402
Name:RODRIGUEZ GARLOBO, MAELIA Y (APRN)
Entity Type:Individual
Prefix:
First Name:MAELIA
Middle Name:Y
Last Name:RODRIGUEZ GARLOBO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10455 SW 43RD ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-4910
Mailing Address - Country:US
Mailing Address - Phone:305-588-6343
Mailing Address - Fax:786-221-3853
Practice Address - Street 1:10455 SW 43RD ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-4910
Practice Address - Country:US
Practice Address - Phone:305-588-6343
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-18
Last Update Date:2023-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11014783363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty