Basic Information
Provider Information
NPI: 1023505716
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GARCIA
FirstName: ALINA
MiddleName: TERESITA
NamePrefix:  
NameSuffix:  
Credential: PT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3939 SW 142ND AVE
Address2:  
City: MIAMI
State: FL
PostalCode: 331756450
CountryCode: US
TelephoneNumber: 7863489814
FaxNumber:  
Practice Location
Address1: 10570 SW 8TH ST
Address2:  
City: MIAMI
State: FL
PostalCode: 331742612
CountryCode: US
TelephoneNumber: 3052221892
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/18/2018
LastUpdateDate: 04/18/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X4396FLY193200000X MULTI-SPECIALTY GROUPRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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