Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | ME131436 | FL |
N | 208000000X | Pediatrician | ME131436 | FL |
NPI | 1649685678 |
---|---|
Provider Name | Yurelis Hilda Garcia |
First Address | Miami, FL 33155-3009 |
Second Address | Miami, FL 33155 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2014 |
Last Update Date | 25/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
020778400 | (05) | FL |