Provider Demographics
NPI:1366670291
Name:ALONSO-GARCIA, GISELA (MA)
Entity Type:Individual
Prefix:
First Name:GISELA
Middle Name:
Last Name:ALONSO-GARCIA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6705 NW 169TH ST APT C110
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-4258
Mailing Address - Country:US
Mailing Address - Phone:305-275-6346
Mailing Address - Fax:305-275-6347
Practice Address - Street 1:3900 NW 79TH AVE STE 805
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-6552
Practice Address - Country:US
Practice Address - Phone:305-595-0180
Practice Address - Fax:305-595-0180
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-30
Last Update Date:2009-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist