Active NPI
Eliseo Garcia Gallardo
- Health & Wellness Coach
- Miami, FL
National Provider Identifier
1215716956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- License
- 18822
- Practice address
- 9380 SW 150TH St
Miami, FL 33176-7947 - Phone
- (786) 375-1546
- NPI assigned
- Sep 22, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | 18822 | FL | Primary |
Addresses
Primary practice location
9380 SW 150TH St
Miami, FL 33176-7947
Mailing address
9380 SW 150TH St
Miami, FL 33176-7947
Phone (786) 375-1546
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18822 | FL | MD | Health & Wellness Coach |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695340800000",
"number": "1215716956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9380 SW 150TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331767947",
"telephone_number": "786-375-1546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9380 SW 150TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331767947",
"telephone_number": "786-375-1546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA GALLARDO",
"first_name": "ELISEO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-09-22",
"last_updated": "2023-09-22",
"certification_date": "2023-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "FL",
"license": "18822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.