Active NPI
Ileana Garcia
- Adult Companion
- Miami, FL
National Provider Identifier
1669732905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- License
- 58925
- Practice address
- 2900 SW 20TH St
Miami, FL 33145-2340 - Phone
- (786) 286-3406
- NPI assigned
- May 21, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Adult Companion | 372600000X | 58925 | FL | Primary |
Addresses
Primary practice location
2900 SW 20TH St
Miami, FL 33145-2340
Mailing address
2900 SW 20 Street
Miami, FL 33145-2340
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 692086179 | Medicaid | FL |
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 |
|---|---|---|---|
| 58925 | FL | MD | Adult Companion |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337558400000",
"number": "1669732905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 SW 20 STREET",
"city": "MIAMI",
"state": "FL",
"postal_code": "331452340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 SW 20TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331452340",
"telephone_number": "786-286-3406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "ILEANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-21",
"last_updated": "2012-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "FL",
"license": "58925",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "692086179",
"state": "FL"
}
],
"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 May 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.