Provider Demographics
NPI:1881103034
Name:GARCIA ZALDIVAR, CAROLINA I
Entity type:Individual
Prefix:
First Name:CAROLINA
Middle Name:I
Last Name:GARCIA ZALDIVAR
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 1:5835 W 16TH AVE APT 101B
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-6866
Mailing Address - Country:US
Mailing Address - Phone:786-626-9077
Mailing Address - Fax:
Practice Address - Street 1:5835 W 16TH AVE APT 101B
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-6866
Practice Address - Country:US
Practice Address - Phone:786-626-9077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty