MEDICARE: YULIET ALBA GARCIA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	PTA25322	FL

General Provider Information

NPI Number	:	1083090260
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YULIET ALBA GARCIA

Provider Business Mailing Address
First Line	:	17021 N BAY RD
Second Line	:	APT 327
City	:	SUNNY ISLES BEACH
State	:	FL
Zip	:	33160-3684
Country	:	US
Telephone Number	:	407-715-8642
Fax Number	:

Provider Business Practice Location Address
First Line	:	519 W 41ST ST
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-3509
Country	:	US
Telephone Number	:	305-672-2992
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2015
Last Update Date	:	10/29/2015

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Directions to “ YULIET ALBA GARCIA ” Practice Location

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