Most Relevant Information
Provider Data
| NPI Number: | 1003680083 |
| Provider Name: | GRETTEL CRUZ RODRIGUEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/10/2023 |
| Last Updated: | 11/10/2023 |
Provider Practice Location
1065 W 26TH ST APT 4
HIALEAH
FL
330101126
Practice Location Phone/Fax
| Phone: | 7864691813 |
| Fax: |
Provider Mailing Location
1065 W 26TH ST APT 4
HIALEAH
FL
330101126
Provider Mailing Phone/Fax
| Phone: | 7864691813 |
| Fax: |