GRICEL RODRIGUEZ FORN (NPI# 1467496232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467496232 |
| Entity Type | Individual |
| Full Name | GRICEL RODRIGUEZ FORN |
| Credential | FMD |
| Practice Address |
777 E 25th St Suite #102 Hialeah FL 33013-3825 |
| Mailing Address |
Po Box 347604 Coral Gables FL 33234-7604 |
| Practice Telephone | 3059848422 |
| Practice Fax Number | 3058570070 |
| Mailing Telephone | 3059848422 |
| Mailing Fax Number | 3058570070 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2010-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
RN9261633 | FL | Nursing Service Providers |
| N | 163WH0200X |
Registered Nurse Specialization: Home Health |
RN9261633 | FL | Nursing Service Providers |
| N | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
RN9261633 | FL | Nursing Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 758967100 | 05 |
| Street Address |
777 E 25TH ST SUITE #102 |
| City | HIALEAH |
| State | FL |
| Zip Code | 33013-3825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396744272 | Manuel J Sone | Podiatrist | 777 E 25th St, Suite 302, Hialeah, FL 33013-3825 | 2005-07-21 |
| 1316427313 | Josue Alberto Moran | Registered Nurse | 777 E 25th St, Ste 516, Hialeah, FL 33013-3834 | 2018-08-19 |
| 1083155907 | Urophysicians, LLC | Urology | 777 E 25th St, Suite 304, Hialeah, FL 33013-3825 | 2017-03-10 |
| 1942657572 | Diabetes and Wound Care Network Inc | Internal Medicine | 777 E 25th St, Suite 306, Hialeah, FL 33013-3825 | 2016-05-24 |
| 1770940934 | Maria Elena Rendon De Daher | Registered Nurse | 777 E 25th St, Hialeah, FL 33013-3825 | 2016-01-19 |
| 1982061255 | Cue Pharmacy Inc | Pharmacy | 777 E 25th St, Suite 120, Hialeah, FL 33013-3825 | 2016-01-18 |
| 1336505742 | Marco Fiore Md Pa | Internal Medicine | 777 E 25th St, Hialeah, FL 33013-3825 | 2016-01-14 |
| 1316302789 | Daniel Pino Ruiz | Nurse Practitioner | 777 E 25th St, Suite 118, Hialeah, FL 33013-3825 | 2015-12-29 |
| 1730550302 | Miami Global Ob Gyn LLC | Obstetrics & Gynecology | 777 E 25th St, Unit 209, Hialeah, FL 33013-3825 | 2015-10-08 |
| 1023486735 | Jessie Trice Community Health System Inc | Clinic/Center | 777 E 25th St, Suite 316, Hialeah, FL 33013-3825 | 2015-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184233918 | Yudith Lazo Gonzales | Behavior Technician | 4565 East 8 Ave, Hialeah, FL 33013 | 2020-07-28 |
| 1710539481 | Paradise Social Club Adult Day Care Corp | Clinic/Center | 3810-3830 E 4th Ave, Hialeah, FL 33013 | 2019-07-12 |
| 1669968624 | Lizette Estevez De Casabuena Serrano | Behavior Technician | 270 E 43rd St, Hialeah, FL 33013 | 2018-07-02 |
| 1790276905 | Villa Rosa Iv, Inc. | Assisted Living Facility | 3051 E. 4 Avenue, Hialeah, FL 33013 | 2018-05-23 |
| 1669972865 | Cristhian Barrios | Chiropractor | 777 E 25th St Ste 306, Hialeah, FL 33013 | 2018-02-15 |
| 1538675749 | Madelin Fuentes | Licensed Practical Nurse | 522 E 25th Street, Hialeah, FL 33013 | 2017-12-26 |
| 1942724273 | Marisol Garcia | Behavior Technician | 3760 E 10th Ave, Hialeah, FL 33013 | 2017-07-28 |
| 1932620838 | Ariana Zita Armas Sanchez | Behavior Technician | 912 E 32nd St, Hialeah, FL 33013 | 2017-06-29 |
| 1740717867 | Thalia Cordero Lopez | Behavior Technician | 4501 E 9th Ct, Hialeah, FL 33013 | 2017-05-19 |
| 1386176873 | Gam Dental | Dentist | 508 East 49 St, Hialeah, FL 33013 | 2017-04-03 |
| Find all providers in zip 33013 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
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| 1730702978 | Able Behavioral Health Center | Registered Nurse | Orange Blossom Manor Mb4 P92, Blk 8, Interlachen, FL 32148 | 2020-05-22 |
| 1871115360 | Leonida Minelga | Registered Nurse | 320 S Wild Orange Dr, New Smyrna Beach, FL 32168-8378 | 2020-05-07 |
| 1922647577 | Lisa Lyles | Registered Nurse | 9136 Sw 227th Ter, Cutler Bay, FL 33190-1976 | 2019-12-31 |
| 1043877947 | Danielle Street | Registered Nurse | 1010 Audace Ave Apt 209, Boynton Beach, FL 33426-3440 | 2019-05-26 |
| 1205493103 | Fiona D Campbell | Registered Nurse | 2412 Nw 39th Way Apt 102, Lauderdale Lakes, FL 33311-1032 | 2019-05-26 |
| 1528621810 | Lea Ann Biafora | Registered Nurse | 725 16th Ave Ne, Saint Petersburg, FL 33704-4805 | 2019-04-22 |
| 1588125850 | Nancy Angelo Finzar | Registered Nurse | 131 Stanford Rd, Venice, FL 34293-6546 | 2019-03-28 |
| 1851866115 | Murlene Destin | Registered Nurse | 18800 Nw 2nd Ave Ste 219b, Miami, FL 33169-4044 | 2018-10-12 |
| 1518441864 | Mouline Guerrier | Registered Nurse | 6409 Adriatic Way, Greenacres, FL 33413-1088 | 2018-09-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.