Healthcare Provider Details

I. General information

NPI: 1861312480
Provider Name (Legal Business Name): GISELLE ALEXANDRA CAMILO RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 09/19/2026
Certification Date: 09/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2390 NW 7TH ST
MIAMI FL
33125-3226
US

IV. Provider business mailing address

2356 NW 31ST ST
MIAMI FL
33142-5836
US

V. Phone/Fax

Practice location:
  • Phone: 305-845-1845
  • Fax: 305-845-1847
Mailing address:
  • Phone: 786-443-2218
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11051048
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: