Healthcare Provider Details

I. General information

NPI: 1265365027
Provider Name (Legal Business Name): GREFRANMED LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3720 SW 107TH AVE
MIAMI FL
33165-3639
US

IV. Provider business mailing address

24044 SW 109TH AVE
HOMESTEAD FL
33032-5115
US

V. Phone/Fax

Practice location:
  • Phone: 305-554-4270
  • Fax:
Mailing address:
  • Phone: 786-515-5190
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: FRANK CASTRO LOPEZ
Title or Position: OWNER
Credential: APRN
Phone: 786-515-5190