Healthcare Provider Details

I. General information

NPI: 1790341147
Provider Name (Legal Business Name): YANDI GARCIA BRITO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2019
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16201 SW 95TH AVE.
CUTLER BAY FL
33157
US

IV. Provider business mailing address

4353 NW 77TH AVE FL 3
MIAMI FL
33166-6736
US

V. Phone/Fax

Practice location:
  • Phone: 786-372-3193
  • Fax: 888-720-2691
Mailing address:
  • Phone: 786-372-3193
  • Fax: 305-359-7546

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME151658
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: