Healthcare Provider Details

I. General information

NPI: 1609378702
Provider Name (Legal Business Name): CARIDAD GARCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/05/2018
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13205 SW 137TH AVE STE 222
MIAMI FL
33186-5336
US

IV. Provider business mailing address

29946 SW 158TH PL
HOMESTEAD FL
33033-3467
US

V. Phone/Fax

Practice location:
  • Phone: 786-712-1707
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-20-117737
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: