Healthcare Provider Details

I. General information

NPI: 1225977796
Provider Name (Legal Business Name): JORDANA PIRELA DOULA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4873 SW 152ND CT APT E
MIAMI FL
33185-4522
US

IV. Provider business mailing address

4873 SW 152ND CT APT E
MIAMI FL
33185-4522
US

V. Phone/Fax

Practice location:
  • Phone: 786-470-0738
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License NumberDOULIO-EEKG-50728193
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: