Provider Demographics
NPI:1225653728
Name:GARCIA, EDUARDO JAVIER
Entity Type:Individual
Prefix:
First Name:EDUARDO
Middle Name:JAVIER
Last Name:GARCIA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 LUDLAM RD APT 211
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-1994
Mailing Address - Country:US
Mailing Address - Phone:786-450-0362
Mailing Address - Fax:
Practice Address - Street 1:2201 LUDLAM RD APT 211
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-1994
Practice Address - Country:US
Practice Address - Phone:786-450-0362
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-10
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician