Provider Demographics
NPI:1538295431
Name:AQUINO ROBLES, LIANI M (MD)
Entity type:Individual
Prefix:DR
First Name:LIANI
Middle Name:M
Last Name:AQUINO ROBLES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 S DOUGLAS RD STE 308
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-6134
Mailing Address - Country:US
Mailing Address - Phone:863-421-7400
Mailing Address - Fax:863-216-6474
Practice Address - Street 1:127 RIDGE CENTER DR
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:FL
Practice Address - Zip Code:33837-6401
Practice Address - Country:US
Practice Address - Phone:863-421-7400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16700208D00000X
FLACN857208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL020781800Medicaid
FLACN857OtherMEDICAL LICENSE NUMBER
FLIX018XOtherMEDICARE