Provider Demographics
NPI:1639441645
Name:GARCIA, JESUS ALVARO (APRN)
Entity Type:Individual
Prefix:
First Name:JESUS
Middle Name:ALVARO
Last Name:GARCIA
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:841 NE 2ND PL
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-5105
Mailing Address - Country:US
Mailing Address - Phone:305-772-6184
Mailing Address - Fax:
Practice Address - Street 1:18300 NW 62ND AVE STE 300
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33015-8217
Practice Address - Country:US
Practice Address - Phone:305-628-4600
Practice Address - Fax:305-628-8090
Is Sole Proprietor?:No
Enumeration Date:2012-02-07
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9292629163W00000X
FLAPRN9292629363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse