Provider Demographics
NPI:1497564686
Name:GARCIA, MONICA PILAR (MS RD LD/N)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:PILAR
Last Name:GARCIA
Suffix:
Gender:F
Credentials:MS RD LD/N
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17710 NW 73RD AVE APT 209
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-6211
Mailing Address - Country:US
Mailing Address - Phone:305-397-6542
Mailing Address - Fax:
Practice Address - Street 1:17710 NW 73RD AVE APT 209
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-6211
Practice Address - Country:US
Practice Address - Phone:305-397-6542
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-02
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND7129133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered