Provider Demographics
NPI:1619377439
Name:URGELLES DEL TORO, ROLANDO (FNP-C)
Entity type:Individual
Prefix:MR
First Name:ROLANDO
Middle Name:
Last Name:URGELLES DEL TORO
Suffix:
Gender:
Credentials:FNP-C
Other - Prefix:
Other - First Name:ROLANDO
Other - Middle Name:
Other - Last Name:URGELLES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2400 MAITLAND CENTER PKWY STE 310
Mailing Address - Street 2:
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-7442
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2400 MAITLAND CENTER PKWY STE 310
Practice Address - Street 2:
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-7442
Practice Address - Country:US
Practice Address - Phone:407-426-4800
Practice Address - Fax:407-426-4820
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-28
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11008864363LF0000X, 363LP2300X
FLPA9117761363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAPRN108546OtherMEDICAL LICENCE NUMBER
FLAPRN108546OtherMEDICAL LICENCE NUMBER