Trullenque, Gretel
Trullenque, Gretel is an sole proprietor health care provider with primary practice located at 1021 Ives Dairy Rd Ste 214 , Miami FL 33179-2537. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Trullenque, Gretel can be contacted via phone (305) 504-6136.Contact Information
Primary practice address
1021 Ives Dairy Rd Ste 214
Miami FL 33179-2537
Phone: (305) 504-6136
Fax: (305) 448-6217
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS8965 | Florida |
Profile Details
| NPI number | 1720076144 |
|---|---|
| LBN Legal business name | Trullenque, Gretel |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 10th, 2005 |
| Last updated | Jul 24th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720076144 | NPPES |
| Florida | MEDICAID | 271754900 |
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