MEDICARE: GABRIEL 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	372500000X	Chore Provider	234735	FL
2	372600000X	Adult Companion	234735	FL
3	374U00000X	Home Health Aide	234735	FL
4	376J00000X	Homemaker	234735	FL

General Provider Information

NPI Number	:	1770014342
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GABRIEL GARCIA

Provider Business Mailing Address
First Line	:	895 SW 86TH CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33144-4028
Country	:	US
Telephone Number	:	786-542-5406
Fax Number	:	786-482-5223

Provider Business Practice Location Address
First Line	:	895 SW 86TH CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33144-4028
Country	:	US
Telephone Number	:	786-542-5406
Fax Number	:	786-482-5223

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

Provider Enumeration Date	:	03/24/2017
Last Update Date	:	03/24/2017

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Directions to “ GABRIEL GARCIA ” Practice Location

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