Camilo Edgardo Garzonlopez

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

25555 Issued in FL

Practice address

800 NW 95TH St
Miami, FL 33150-2032

Phone

(305) 853-5848

NPI assigned

Oct 9, 2015

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444348800000",
    "number": "1013388586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5610 NW 107TH AVE APT 1310",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331784940",
            "telephone_number": "305-301-7085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 NW 95TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331502032",
            "telephone_number": "305-853-5848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARZONLOPEZ",
        "first_name": "CAMILO",
        "middle_name": "EDGARDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-09",
        "last_updated": "2015-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "25555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia Liliana Garzon Rodriguez, RBT
• Anamaria Garzon, MS, CCC-SLP
• Catalina Garzon
• Diane Garzon, BA
• Diego Alejandro Garzon, RD
• Meaghan Gasch
• Aymara Gascon Garcia
• Barbara L Gascon
• Lauryn Emily Gascon, PA-C
• Sabrina Gascon, RBT

• Physical Therapy Assistant in Miami, FL
• Providers in Miami, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.