Organization
221 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAYANSI GARCIA-PUERTO MD (PRESIDENT)
(305) 928-7249
Entity
Organization
Contact information
Practice address
1435 W 49TH PLACE, SUITE 402, HIALEAH, FL 33012-3147
(305) 907-8526
(786) 534-2493
Mailing address
PO BOX 282071, TAMPA, FL 33630-2071
(305) 928-7249
(305) 630-3632
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
02/10/2022
Last updated
11/28/2023
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