MEDICARE: LUIS GUILLERMO GARCIA LAGO

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	106S00000X	Behavior Technician	25-497336	FL

General Provider Information

NPI Number	:	1740144237
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUIS GUILLERMO GARCIA LAGO

Provider Business Mailing Address
First Line	:	1516 PLANTATION GROVE CT APT 713
Second Line	:
City	:	PLANT CITY
State	:	FL
Zip	:	33566-1587
Country	:	US
Telephone Number	:	813-852-4355
Fax Number	:

Provider Business Practice Location Address
First Line	:	1516 PLANTATION GROVE CT APT 713
Second Line	:
City	:	PLANT CITY
State	:	FL
Zip	:	33566-1587
Country	:	US
Telephone Number	:	813-852-4355
Fax Number	:

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

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	04/10/2026

Similar Medicare Providers

1346343613 — DR. HUYLA G COKER PHARMD
Practice Location Address:

1144 N ROAD ST , POST OFFICE BOX 1587
ELIZABETH CITY, NC
27909-3473

Practice Phone: 252-335-0531
Practice Fax: 252-384-4179

1417493651 — MISS EILEEN MONIQUE DAILEY PTA
Practice Location Address:

517 WEDGE DR
DICKSON CITY, PA
18519-1587

Practice Phone: 215-870-8123
Practice Fax:

1982171310 — UNYA JONES CNA
Practice Location Address:

1617 ASTOR ST APT 2E
CALUMET CITY, IL
60409-1587

Practice Phone: 708-527-1046
Practice Fax:

1487119145 — CAROLYN CHAPMAN
Practice Location Address:

4829 PALOMAR LN
LEAGUE CITY, TX
77573-1587

Practice Phone: 713-253-3346
Practice Fax:

1316643471 — MRS. CANDICE OCEL NP-C
Practice Location Address:

2115 E ONSTOTT RD
YUBA CITY, CA
95991-1587

Practice Phone: 530-751-0339
Practice Fax:

1285407536 — COSMO L FRASER, MD
Practice Location Address:

2115 E ONSTOTT RD
YUBA CITY, CA
95991-1587

Practice Phone: 530-751-0339
Practice Fax: 530-751-0449

Directions to “ LUIS GUILLERMO GARCIA LAGO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.