Provider Demographics
NPI:1619499597
Name:RODRIGUEZ GONZALEZ, MARIBEL DEL CARMEN (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIBEL
Middle Name:DEL CARMEN
Last Name:RODRIGUEZ GONZALEZ
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 1:6101 BLUE LAGOON DR STE 400
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-2051
Mailing Address - Country:US
Mailing Address - Phone:305-500-2000
Mailing Address - Fax:
Practice Address - Street 1:601 N CONGRESS AVE STE 403
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-4639
Practice Address - Country:US
Practice Address - Phone:561-272-1618
Practice Address - Fax:888-965-3361
Is Sole Proprietor?:No
Enumeration Date:2017-07-12
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR33029-R208D00000X
FLME155734207QG0300X
PR21708207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine