Provider Demographics
NPI:1184144636
Name:GARCIA HERNANDEZ, TAIMY
Entity type:Individual
Prefix:
First Name:TAIMY
Middle Name:
Last Name:GARCIA HERNANDEZ
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 1:15295 SW 107TH LN APT 1023
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-4559
Mailing Address - Country:US
Mailing Address - Phone:786-592-2263
Mailing Address - Fax:786-272-0440
Practice Address - Street 1:15295 SW 107TH LN APT 1023
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33196-4559
Practice Address - Country:US
Practice Address - Phone:786-592-2263
Practice Address - Fax:786-272-0440
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician