Healthcare Provider Details

I. General information

NPI: 1033059936
Provider Name (Legal Business Name): MR. ROJER JESUS GARCIA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15648 SW 127TH AVE APT 207
MIAMI FL
33177-1435
US

IV. Provider business mailing address

15648 SW 127TH AVE APT 207
MIAMI FL
33177-1435
US

V. Phone/Fax

Practice location:
  • Phone: 786-842-5027
  • Fax:
Mailing address:
  • Phone: 786-842-5027
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-525402
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: