Enrique Garbayo Otano, SA-C

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

RN9650944 Issued in FL

Practice address

6686 SW 103Rd CT
Miami, FL 33173-1314

Phone

(786) 451-4551

NPI assigned

Apr 19, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1524096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1477040996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6686 SW 103RD CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331731314",
            "telephone_number": "786-451-4551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6686 SW 103RD CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331731314",
            "telephone_number": "786-451-4551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARBAYO OTANO",
        "first_name": "ENRIQUE",
        "credential": "SA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "WI",
            "license": "15-268",
            "primary": false
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "FL",
            "license": "RN9650944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystine N Garay, LMHC,LMFT
• Melanie Rose Garay
• David Michael Garazi, DMD
• Isaac Garazi, DMD
• Nana Aisha Garba, MD
• Robin Garbayo Prieto
• Garbo Group Service Inc
• Yadaikys Garce
• Jonathan William Garcell, PA
• Rene Garcell, LCSW

• Registered Nurse First Assistant in Miami, FL
• Providers in Miami, FL by specialty
• Registered Nurse First Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.