Provider Demographics
NPI:1164181285
Name:GARCIA-CAREAGA, ANA (MED)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:
Last Name:GARCIA-CAREAGA
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27601 SW 164TH CT
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33031-2813
Mailing Address - Country:US
Mailing Address - Phone:786-222-8697
Mailing Address - Fax:
Practice Address - Street 1:27601 SW 164TH CT
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33031-2813
Practice Address - Country:US
Practice Address - Phone:786-222-8697
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-16
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLBACB392472106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician