Healthcare Provider Details

I. General information

NPI: 1679819320
Provider Name (Legal Business Name): ROBERTO N GARCIA RRT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/28/2012
Last Update Date: 12/28/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14837 BALGOWAN RD 202
MIAMI LAKES FL
33016-6472
US

IV. Provider business mailing address

14837 BALGOWAN RD 202
MIAMI LAKES FL
33016-6472
US

V. Phone/Fax

Practice location:
  • Phone: 305-206-5830
  • Fax:
Mailing address:
  • Phone: 305-206-5830
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2279P1004X
TaxonomyPulmonary Diagnostics Registered Respiratory Therapist
License NumberRT 12334
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2279P1006X
TaxonomyPulmonary Function Technologist Registered Respiratory Therapist
License NumberRT 12334
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License NumberRT12334
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code2279P1005X
TaxonomyPulmonary Rehabilitation Registered Respiratory Therapist
License NumberRRT 12334
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code2279P4000X
TaxonomyPatient Transport Registered Respiratory Therapist
License NumberRRT12334
License Number StateFL
# 6
Primary TaxonomyN
Taxonomy Code2279S1500X
TaxonomySNF/Subacute Care Registered Respiratory Therapist
License NumberRRT 12334
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: