Individual
LUIS MIGUEL GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
8175 NW 12TH ST, SUITE 306, DORAL, FL 33126-1828
(786) 845-0173
(786) 845-0176
Mailing address
8175 NW 12TH ST, SUITE 306, DORAL, FL 33126-1828
(786) 845-0173
(786) 845-0176
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9281509
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0279234 00, 09, 30
MIAMI-DADE COUNTY HEALTH DEPARTMENT MEDICAID #
FL
01
—
1712171895
MIAMI-DADE COUNTY HEALTH DEPARTMENT - NPI
FL
Enumeration date
10/15/2008
Last updated
10/15/2008
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