Provider Demographics
NPI:1457430308
Name:GARCIA, MARIA TERESA
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:TERESA
Last Name:GARCIA
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 1:11915 SW 6TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33184-1621
Mailing Address - Country:US
Mailing Address - Phone:305-505-6966
Mailing Address - Fax:305-691-2634
Practice Address - Street 1:11915 SW 6TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33184-1621
Practice Address - Country:US
Practice Address - Phone:305-505-6966
Practice Address - Fax:305-691-2634
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health