Healthcare Provider Details

I. General information

NPI: 1588317044
Provider Name (Legal Business Name): HAROLD ISAAC PRAT GARCIA APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/03/2022
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13701 SW 88TH ST STE 303-3
MIAMI FL
33186-1325
US

IV. Provider business mailing address

13701 SW 88TH ST STE 303-3
MIAMI FL
33186-1325
US

V. Phone/Fax

Practice location:
  • Phone: 786-714-3992
  • Fax: 786-629-5005
Mailing address:
  • Phone: 786-714-3992
  • Fax: 786-629-5005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11017915
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: