MEDICARE: GRL HEALTH SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750013256
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRL HEALTH SERVICES, INC.

Provider Business Mailing Address
First Line	:	10760 W FLAGLER ST STE 11
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33174-4404
Country	:	US
Telephone Number	:	305-554-5144
Fax Number	:	855-676-6399

Provider Business Practice Location Address
First Line	:	10760 W FLAGLER ST STE 11
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33174-4404
Country	:	US
Telephone Number	:	305-554-5144
Fax Number	:	855-676-6399

Authorized Official
Title or Position	:	OWNER
Name	:	GRACIELA ROQUE LINARES
Credential	:	APRN
Telephone Number	:	786-718-7806

Provider Enumeration Date	:	06/24/2022
Last Update Date	:	08/04/2023

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Directions to “GRL HEALTH SERVICES, INC. ” Practice Location

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