Provider Demographics
NPI:1215183710
Name:GARCIA, BRICEIDA (SURGICAL TECH)
Entity Type:Individual
Prefix:
First Name:BRICEIDA
Middle Name:
Last Name:GARCIA
Suffix:
Gender:F
Credentials:SURGICAL TECH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14368 SW 135TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-8384
Mailing Address - Country:US
Mailing Address - Phone:786-242-0090
Mailing Address - Fax:
Practice Address - Street 1:8940 N KENDALL DR STE 903E
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2176
Practice Address - Country:US
Practice Address - Phone:305-595-2969
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-15
Last Update Date:2008-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist