Gretell Yuliet Alfonso
Individual provider Active NPI Family Nurse Practitioner · Miami Gardens, FL
NPI 1124892971 · NPPES record last updated Nov 13, 2023
Key facts
- NPI
- 1124892971
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN11029620 (FL)
- Practice address
- 18484 NW 53Rd Ave
Miami Gardens, FL 33055-5343 - Phone
- (786) 253-3815
- NPI assigned
- Nov 13, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11029620 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Worx Health Center Inc | Current | Accepting new patients | |
| Life Worx Health Center Inc | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11029620 | FL | Yes |
Addresses
Primary practice location
18484 NW 53Rd Ave
Miami Gardens, FL 33055-5343
Mailing address
18484 NW 53Rd Ave
Miami Gardens, FL 33055-5343
Phone (786) 253-3815
Other providers in Miami Gardens, FL
- Jimica Alexander
- Alfa Medical Supplies, LLC
- Libets Alfonso Gonzalez
- Alba M Alfonso
- Daila Alfonso
- Ketty Alfonso
- Milsa Yudith Alfonso
- Alfrednev Corporation
- Sharon Ali
- Syed Zia Akhtar Ali
All providers in Miami Gardens, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.