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GRICEL RODRIGUEZ FORN FMD NPI 1467496232


NPI Information

NPI: 1467496232
Provider Name: GRICEL RODRIGUEZ FORN, FMD
Classification: Registered Nurse - 163WC0400X
Entity Type: Individual

Specialization: Case Management

Address:
777 E 25TH ST
SUITE #102
HIALEAH, FL
ZIP 33013
Phone: (305) 984-8422
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Gricel Rodriguez Forn, FMD is a case management registered nurse in Hialeah, FL. Gricel Rodriguez Forn, FMD NPI is 1467496232. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

777 E 25TH ST
SUITE #102
HIALEAH, FL
ZIP 33013-825
Phone: (305) 984-8422
Fax: (305) 857-0070

The enumeration date for this NPI number is 6/15/2006 and was last updated on 3/10/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1171M00000XCase Manager/Care CoordinatorNo
2163WP0809XRegistered NursePsychiatric/Mental Health, AdultRN9261633FLORIDANo
3163WH0200XRegistered NurseHome HealthRN9261633FLORIDANo
4101Y00000XCounselorNo
5163WC0400XRegistered NurseCase ManagementRN9261633FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1758967100MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.