Provider Demographics
NPI:1679331797
Name:PINOL RODRIGUEZ, ABEL SR
Entity Type:Individual
Prefix:
First Name:ABEL
Middle Name:
Last Name:PINOL RODRIGUEZ
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2180 HYPOLUXO RD
Mailing Address - Street 2:
Mailing Address - City:LANTANA
Mailing Address - State:FL
Mailing Address - Zip Code:33462-3922
Mailing Address - Country:US
Mailing Address - Phone:561-582-3000
Mailing Address - Fax:
Practice Address - Street 1:2180 HYPOLUXO RD
Practice Address - Street 2:
Practice Address - City:LANTANA
Practice Address - State:FL
Practice Address - Zip Code:33462-3922
Practice Address - Country:US
Practice Address - Phone:561-582-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-12
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11031726363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner