Individual provider Active NPI

Eliosdanis Galan Garcia, DNP

  • Nurse Practitioner
  • Miami, FL
National Provider Identifier
1659859007
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F07181591 Issued in FL
Practice address
8870 Fontainebleau Blvd Apt 513
Miami, FL 33172-4462
Phone
(954) 696-8664
NPI assigned
Jul 29, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F07181591 FL Primary

Addresses

Primary practice location

8870 Fontainebleau Blvd Apt 513
Miami, FL 33172-4462

Mailing address

8870 Fontainebleau Blvd Apt 513
Miami, FL 33172-4462
Phone (954) 696-8664

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
I20200416002501 FL Practitioner - Nurse Practitioner 2466882378 Practice locations: Hialeah, FL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F07181591FLMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1532822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1659859007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8870 FONTAINEBLEAU BLVD APT 513",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331724462",
            "telephone_number": "954-696-8664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8870 FONTAINEBLEAU BLVD APT 513",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331724462",
            "telephone_number": "954-696-8664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALAN GARCIA",
        "first_name": "ELIOSDANIS",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-29",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "F07181591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.