Provider Demographics
NPI:1174025381
Name:RODRIGUEZ SALINAS, GUSTAVO (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:GUSTAVO
Middle Name:
Last Name:RODRIGUEZ SALINAS
Suffix:
Gender:M
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14301 SW 96TH ST APT 706
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-1300
Mailing Address - Country:US
Mailing Address - Phone:346-368-6950
Mailing Address - Fax:
Practice Address - Street 1:14301 SW 96TH ST 706
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33188-1718
Practice Address - Country:US
Practice Address - Phone:346-368-6950
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-03
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9552643163WX1100X
FL17-528246ZC0007X
FLAPRN11024487363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WX1100XNursing Service ProvidersRegistered NurseOphthalmic
No246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant