Healthcare Provider Details

I. General information

NPI: 1497556823
Provider Name (Legal Business Name): RENIER GARNIER GARCIA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2025
Last Update Date: 12/26/2025
Certification Date: 12/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8660 W FLAGLER ST STE 121
MIAMI FL
33144-2035
US

IV. Provider business mailing address

430 SW 6TH AVE APT 8
MIAMI FL
33130-2733
US

V. Phone/Fax

Practice location:
  • Phone: 305-600-4774
  • Fax:
Mailing address:
  • Phone: 646-620-5305
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-25-498766
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: