Healthcare Provider Details

I. General information

NPI: 1235709338
Provider Name (Legal Business Name): IRIS MOLINA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2021
Last Update Date: 02/09/2026
Certification Date: 02/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8800 N KENDALL DR
MIAMI FL
33176
US

IV. Provider business mailing address

488 NE 18TH ST UNIT 3308
MIAMI FL
33132-1315
US

V. Phone/Fax

Practice location:
  • Phone: 305-587-0118
  • Fax:
Mailing address:
  • Phone: 305-587-0118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPRN11017502
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: