MEDICARE: SOFIA ALFONSO 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	106S00000X	Behavior Technician	RBT-25-480283	FL

General Provider Information

NPI Number	:	1881560183
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SOFIA ALFONSO GARCIA

Provider Business Mailing Address
First Line	:	777 NW 72ND AVE STE 1083
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-3176
Country	:	US
Telephone Number	:	786-490-6307
Fax Number	:

Provider Business Practice Location Address
First Line	:	1373 W 69TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33014-4528
Country	:	US
Telephone Number	:	305-720-3233
Fax Number	:

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

Provider Enumeration Date	:	10/14/2025
Last Update Date	:	03/05/2026

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Directions to “ SOFIA ALFONSO GARCIA ” Practice Location

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