Healthcare Provider Details

I. General information

NPI: 1528981503
Provider Name (Legal Business Name): SARA GARCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SARA PEREZ

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5851 SW 109TH CT
MIAMI FL
33173-1155
US

IV. Provider business mailing address

5851 SW 109TH CT
MIAMI FL
33173-1155
US

V. Phone/Fax

Practice location:
  • Phone: 786-372-8011
  • Fax:
Mailing address:
  • Phone: 786-372-8011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number691906
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: