Provider Demographics
NPI:1821527839
Name:GARCIA BUENO, DIANSY
Entity Type:Individual
Prefix:
First Name:DIANSY
Middle Name:
Last Name:GARCIA BUENO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1093 SW 142ND AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33184-3072
Mailing Address - Country:US
Mailing Address - Phone:786-258-7796
Mailing Address - Fax:
Practice Address - Street 1:2955 SW 8TH ST STE 203
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-2864
Practice Address - Country:US
Practice Address - Phone:305-587-2408
Practice Address - Fax:877-347-5666
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst