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NPI Code Detail

MEDICARE: EVARISTO MANUEL GARCIA APRN

MEDICARE: EVARISTO MANUEL GARCIA APRN
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
1363LF0000XFamily Nurse PractitionerAPRN11006446FL

Other Identifiers

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

General Provider Information

NPI Number : 1609401751
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVARISTO MANUEL GARCIA APRN
Provider Business Mailing Address
First Line : 1500 S HIATUS RD
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33025-3617
Country : US
Telephone Number : 954-438-4000
Fax Number :
Provider Business Practice Location Address
First Line : 1500 S HIATUS RD
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33025-3617
Country : US
Telephone Number : 954-438-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2020
Last Update Date : 02/05/2025

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Directions to “ EVARISTO MANUEL GARCIA APRN” Practice Location

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