Provider Demographics
NPI:1336577725
Name:RODRIGUEZ FOLGUEIRA, ABELARDO JESUS (APRN)
Entity Type:Individual
Prefix:
First Name:ABELARDO
Middle Name:JESUS
Last Name:RODRIGUEZ FOLGUEIRA
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13944 SW 103RD TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-6833
Mailing Address - Country:US
Mailing Address - Phone:786-399-8713
Mailing Address - Fax:
Practice Address - Street 1:13944 SW 103RD TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-6833
Practice Address - Country:US
Practice Address - Phone:786-399-8713
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-22
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9231704163W00000X
FL11009640363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse