MEDICARE: MIRNA PAYAN-GARCIA A.R.N.P.

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	363LP0200X	Pediatric Nurse Practitioner	ARNP9356126	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205285947
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIRNA PAYAN-GARCIA A.R.N.P.

Provider Business Mailing Address
First Line	:	1150 NW 14TH ST STE 207
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33136-2113
Country	:	US
Telephone Number	:	305-243-3100
Fax Number	:	305-243-4713

Provider Business Practice Location Address
First Line	:	1150 NW 14TH ST STE 207
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33136-2113
Country	:	US
Telephone Number	:	305-243-3100
Fax Number	:	305-243-4713

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

Provider Enumeration Date	:	06/03/2016
Last Update Date	:	01/12/2026

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