Healthcare Provider Details

I. General information

NPI: 1316861792
Provider Name (Legal Business Name): GABRIELLE HERNANDEZ RD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13500 N KENDALL DR STE 165
MIAMI FL
33186-1550
US

IV. Provider business mailing address

13500 N KENDALL DR STE 165
MIAMI FL
33186-1550
US

V. Phone/Fax

Practice location:
  • Phone: 305-388-1802
  • Fax:
Mailing address:
  • Phone: 305-388-1802
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: