Provider Demographics
NPI:1952156648
Name:GARCIA, ANDRES ELOY
Entity Type:Individual
Prefix:
First Name:ANDRES
Middle Name:ELOY
Last Name:GARCIA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:ANDRES
Other - Middle Name:ELOY
Other - Last Name:GARCIA SUAREZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:10851 SW 88TH ST APT 303
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-1362
Mailing Address - Country:US
Mailing Address - Phone:305-457-8611
Mailing Address - Fax:
Practice Address - Street 1:10851 SW 88TH ST APT 303
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-1362
Practice Address - Country:US
Practice Address - Phone:305-457-8611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-17
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician