Provider Demographics
NPI:1467566711
Name:RODRIGUEZ CABAN, ARELIS (MD)
Entity Type:Individual
Prefix:DR
First Name:ARELIS
Middle Name:
Last Name:RODRIGUEZ CABAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:737 S SEMORAN BLVD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32807-3121
Mailing Address - Country:US
Mailing Address - Phone:321-247-4960
Mailing Address - Fax:833-963-0116
Practice Address - Street 1:737 S SEMORAN BLVD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32807-3121
Practice Address - Country:US
Practice Address - Phone:321-247-4960
Practice Address - Fax:833-963-0116
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-17
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16540208D00000X
FLACN679208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR16540OtherMEDICNE DOCTOR LICENSE
FLACN679OtherMEDICINE DOCTOR LIC