Healthcare Provider Details

I. General information

NPI: 1245140763
Provider Name (Legal Business Name): SOLURA HEALTH GROUP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5789 NW 151ST ST
MIAMI LAKES FL
33014-2424
US

IV. Provider business mailing address

20119 THREE CHUTES LN
CYPRESS TX
77433-5148
US

V. Phone/Fax

Practice location:
  • Phone: 305-850-0172
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: GABRIEL RODRIGUEZ
Title or Position: OWNER
Credential: PMHNP
Phone: 346-573-5605