MEDICARE: ANA BEL GARCIA DE LA ROSA RBT

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	246ZC0007X	Surgical Assistant	21-745	FL
2	106S00000X	Behavior Technician	RBT-23-316404	FL
3	363A00000X	Physician Assistant	2836	PR
4	363AS0400X	Surgical Physician Assistant	2836	PR

General Provider Information

NPI Number	:	1417725334
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANA BEL GARCIA DE LA ROSA RBT

Provider Business Mailing Address
First Line	:	10030 SW 54TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-7118
Country	:	US
Telephone Number	:	786-458-9649
Fax Number	:

Provider Business Practice Location Address
First Line	:	10030 SW 54TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-7118
Country	:	US
Telephone Number	:	786-458-9649
Fax Number	:

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

Provider Enumeration Date	:	12/20/2023
Last Update Date	:	12/16/2025

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