Healthcare Provider Details

I. General information

NPI: 1013828235
Provider Name (Legal Business Name): GRETEL RODRIGUEZ ARIAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1840 W 49TH ST STE 606
HIALEAH FL
33012-2962
US

IV. Provider business mailing address

1840 W 49TH ST STE 606
HIALEAH FL
33012-2962
US

V. Phone/Fax

Practice location:
  • Phone: 305-846-9727
  • Fax: 786-860-5907
Mailing address:
  • Phone: 305-846-9727
  • Fax: 786-860-5907

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number9550943
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: