Provider Demographics
NPI:1437699956
Name:GARCIA SALAS, ALEXANDER (ARNP)
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:
Last Name:GARCIA SALAS
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:406 NW 22ND AVE APT 603
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-3368
Mailing Address - Country:US
Mailing Address - Phone:786-308-0054
Mailing Address - Fax:
Practice Address - Street 1:700 S ROYAL POINCIANA BLVD
Practice Address - Street 2:
Practice Address - City:MIAMI SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33166-6600
Practice Address - Country:US
Practice Address - Phone:305-442-9223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-02
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9340857363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily