Provider Demographics
NPI:1831137306
Name:APOLO, MARIAINES (DPM)
Entity Type:Individual
Prefix:
First Name:MARIAINES
Middle Name:
Last Name:APOLO
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:DR
Other - First Name:MARIAINES
Other - Middle Name:
Other - Last Name:APOLO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPM
Mailing Address - Street 1:251 VALENCIA AVE UNIT 142133
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33114-6987
Mailing Address - Country:US
Mailing Address - Phone:305-459-3970
Mailing Address - Fax:305-459-3971
Practice Address - Street 1:8339 NW 12TH ST
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33126-1841
Practice Address - Country:US
Practice Address - Phone:305-459-3970
Practice Address - Fax:305-459-3971
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-04
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO3228213E00000X, 213EP1101X, 213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine