Provider Demographics
NPI:1912192584
Name:GARCIA, MARIA J (CNA)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:J
Last Name:GARCIA
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13185 SW 9TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33184-2020
Mailing Address - Country:US
Mailing Address - Phone:305-207-3637
Mailing Address - Fax:305-207-3637
Practice Address - Street 1:13185 SW 9TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33184-2020
Practice Address - Country:US
Practice Address - Phone:305-207-3637
Practice Address - Fax:305-207-3637
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-07
Last Update Date:2007-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion
No376J00000XNursing Service Related ProvidersHomemaker
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCNA49208OtherCERTIFIED NURSING ASSIST.