Individual ProviderElena GrilloNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address7755 SW 66th St, South Miami, FL 33143-2710(305) 970-6655PECOS EnrollmentBased on the most recent information from CMS, provider Elena Grillo does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1811506009Provider TypeIndividualFull NameGrillo, ElenaCredentialAPRNGenderFemaleSole ProprietorYesEnumeration Date7/23/2020Last Updated7/28/2020Contact InformationPractice LocationPractice Address7755 SW 66th St, South Miami, FL 33143-2710Phone(305) 970-6655FaxUnlisted FaxMailing LocationMailing Address7755 SW 66th St, South Miami, FL 33143-2710Phone(305) 970-6655FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAPRN11007242Florida