Healthcare Provider Details

I. General information

NPI: 1417725334
Provider Name (Legal Business Name): ANA BEL GARCIA DE LA ROSA RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/20/2023
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10030 SW 54TH ST
MIAMI FL
33165-7118
US

IV. Provider business mailing address

10030 SW 54TH ST
MIAMI FL
33165-7118
US

V. Phone/Fax

Practice location:
  • Phone: 786-458-9649
  • Fax:
Mailing address:
  • Phone: 786-458-9649
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number21-745
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-23-316404
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number2836
License Number StatePR
# 4
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number2836
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: