MEDICARE: RAIMARY GARCIA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1013799691
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAIMARY GARCIA

Provider Business Mailing Address
First Line	:	2595 W 9TH LN
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33010-1225
Country	:	US
Telephone Number	:	786-600-9694
Fax Number	:

Provider Business Practice Location Address
First Line	:	18950 SW 106TH AVE STE 117
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33157-7699
Country	:	US
Telephone Number	:	305-614-1230
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2023
Last Update Date	:	10/18/2023

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Directions to “ RAIMARY GARCIA ” Practice Location

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