Organization Active NPI

GRC General Prevention LLC

  • General Practice Registered Nurse
  • Miami Lakes, FL
National Provider Identifier
1407667306
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
Legal business name
GRC GENERAL PREVENTION LLC
Practice address
16251 NW 57TH Ave Ste 109
Miami Lakes, FL 33014-6709
Phone
(786) 286-8704
Fax
(305) 938-0800
NPI assigned
Jan 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Glamys Rodriguez Caballero, APRN
Title
Ambr
Phone
(786) 286-8704

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WG0000X Primary

Addresses

Primary practice location

16251 NW 57TH Ave Ste 109
Miami Lakes, FL 33014-6709

Mailing address

16251 NW 57TH Ave Ste 109
Miami Lakes, FL 33014-6709
Phone (786) 286-8704

National Provider Directory

National Provider Directory

Locations

16251 NW 57th Ave
Ste 109
Miami Lakes, FL 33014
Phone (786) 286-8704

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737331200000",
    "number": "1407667306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16251 NW 57TH AVE STE 109",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330146709",
            "telephone_number": "786-286-8704",
            "fax_number": "305-938-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16251 NW 57TH AVE STE 109",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330146709",
            "telephone_number": "786-286-8704",
            "fax_number": "305-938-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRC GENERAL PREVENTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-19",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ CABALLERO",
        "authorized_official_first_name": "GLAMYS",
        "authorized_official_title_or_position": "AMBR",
        "authorized_official_telephone_number": "786-286-8704",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.