Provider Demographics
NPI:1083090260
Name:ALBA GARCIA, YULIET
Entity Type:Individual
Prefix:
First Name:YULIET
Middle Name:
Last Name:ALBA GARCIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17021 N BAY RD
Mailing Address - Street 2:APT 327
Mailing Address - City:SUNNY ISLES BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-3684
Mailing Address - Country:US
Mailing Address - Phone:407-715-8642
Mailing Address - Fax:
Practice Address - Street 1:519 W 41ST ST
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-3509
Practice Address - Country:US
Practice Address - Phone:305-672-2992
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-10
Last Update Date:2015-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPTA25322225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant