Individual
RACIEL ALONSO GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1599 SE LENNARD RD, PORT ST LUCIE, FL 34952-6542
(772) 323-0762
(772) 413-0045
Mailing address
PO BOX 4189, DEERFIELD BEACH, FL 33442-4189
(954) 363-9582
(954) 363-9663
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN11018353
FL
363LF0000X
Family Nurse Practitioner
F022220136
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11018353
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113507100
—
FL
01
—
O7106
MEDICARE
FL
Enumeration date
02/03/2022
Last updated
10/08/2025
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