Individual provider · Type 1 NPI

Ismael Macalla-Rodriguez, APRN

Gerontology Nurse Practitioner · Fort Myers, FL

NPI number 1063186930 Active

Practice location

5216 Clayton Ct
Fort Myers, FL 33907-2116

Fax (239) 343-4258

Mailing address

PO Box 2147
Fort Myers, FL 33902-2147

Other practice locations

  • 610 NW 36th Pl, Cape Coral, FL 33993-5567 · (754) 265-2445

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100XAPRN11014693 (FL)
Gerontology Nurse Practitioner Primary 363LG0600XAPRN11014693 (FL)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1063186930

Ismael Macalla-Rodriguez, APRN's National Provider Identifier is 1063186930, issued on Aug 4, 2021. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Fort Myers, FL. The record was last updated on May 28, 2025.