Individual provider Active NPI

Evaristo Manuel Garcia, APRN

  • Family Nurse Practitioner
  • Pembroke Pines, FL
National Provider Identifier
1609401751
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11006446 Issued in FL
Practice address
1500 S Hiatus Rd
Pembroke Pines, FL 33025-3617
Phone
(954) 438-4000
NPI assigned
Mar 10, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11006446 FL Primary

Addresses

Primary practice location

1500 S Hiatus Rd
Pembroke Pines, FL 33025-3617

Mailing address

1500 S Hiatus Rd
Pembroke Pines, FL 33025-3617
Phone (954) 438-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210624000279 FL Practitioner - Nurse Practitioner 2163823469 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11006446FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Las Mercedes, LLC Current Accepting new patients
Clinica Las Mercedes, LLC CurrentSince Feb 4, 2025 Accepting new patients

Locations

450 SW 136th Ave
Pembroke Pines, FL 33027
Phone (954) 239-4818

8251 W Broward Blvd
Ste 200210
Plantation, FL 33324
Phone (954) 334-3131

6355 NW 36th St
Ste 1100
Virginia Gardens, FL 33166

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1609401751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S HIATUS RD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330253617",
            "telephone_number": "954-438-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S HIATUS RD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330253617",
            "telephone_number": "954-438-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "EVARISTO",
        "middle_name": "MANUEL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-10",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11006446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.