Provider Demographics
NPI:1750013256
Name:GRL HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:GRL HEALTH SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GRACIELA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROQUE LINARES
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:786-718-7806
Mailing Address - Street 1:10760 W FLAGLER ST STE 11
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-4404
Mailing Address - Country:US
Mailing Address - Phone:305-554-5144
Mailing Address - Fax:855-676-6399
Practice Address - Street 1:10760 W FLAGLER ST STE 11
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-4404
Practice Address - Country:US
Practice Address - Phone:305-554-5144
Practice Address - Fax:855-676-6399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-24
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty