Individual
GRETEL DULCE DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
860 NW 42ND AVE STE 101, MIAMI, FL 33126-4174
(305) 946-1526
(877) 550-1853
Mailing address
860 NW 42ND AVE FL 5, MIAMI, FL 33126-4172
(305) 204-0333
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9466386
FL
363L00000X
Nurse Practitioner
Primary
APRN11024150
FL
Other
Enumeration date
10/06/2020
Last updated
03/27/2025
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