Provider Demographics
NPI:1639064090
Name:ALONSO FIEL, GRETELL (DMD)
Entity type:Individual
Prefix:
First Name:GRETELL
Middle Name:
Last Name:ALONSO FIEL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7951 NE BAYSHORE CT APT 1114
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33138-6441
Mailing Address - Country:US
Mailing Address - Phone:305-560-0138
Mailing Address - Fax:305-560-0138
Practice Address - Street 1:7951 NE BAYSHORE CT APT 1114
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33138-6441
Practice Address - Country:US
Practice Address - Phone:305-560-0138
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN30384122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist