Provider Demographics
NPI:1205285947
Name:PAYAN-GARCIA, MIRNA (ARNP)
Entity type:Individual
Prefix:
First Name:MIRNA
Middle Name:
Last Name:PAYAN-GARCIA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1150 NW 14TH ST STE 207
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-2113
Mailing Address - Country:US
Mailing Address - Phone:305-243-2431
Mailing Address - Fax:305-243-4678
Practice Address - Street 1:1150 NW 14TH ST STE 207
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136
Practice Address - Country:US
Practice Address - Phone:305-243-2431
Practice Address - Fax:305-243-4678
Is Sole Proprietor?:No
Enumeration Date:2016-06-03
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9356126363LP0200X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics