Provider Demographics
NPI:1356716849
Name:GARIBI, ANDRES (ABOC)
Entity type:Individual
Prefix:
First Name:ANDRES
Middle Name:
Last Name:GARIBI
Suffix:
Gender:M
Credentials:ABOC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:326 LAKE POWELL
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-1987
Mailing Address - Country:US
Mailing Address - Phone:956-462-5254
Mailing Address - Fax:956-462-5254
Practice Address - Street 1:519 E CALTON RD
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-3688
Practice Address - Country:US
Practice Address - Phone:956-462-5254
Practice Address - Fax:956-462-5254
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-09
Last Update Date:2015-12-09
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician