Provider Demographics
NPI:1679052310
Name:SANCHEZ-RODRIGUEZ, GRETHEL (NP-C)
Entity Type:Individual
Prefix:
First Name:GRETHEL
Middle Name:
Last Name:SANCHEZ-RODRIGUEZ
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:GRETHEL
Other - Middle Name:SANCHEZ
Other - Last Name:MORALES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14048 SW 47TH LN
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-4833
Mailing Address - Country:US
Mailing Address - Phone:305-310-1818
Mailing Address - Fax:
Practice Address - Street 1:1865 NE 163RD ST STE A
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-4805
Practice Address - Country:US
Practice Address - Phone:305-310-1818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-13
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLF08180496363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner