Provider Demographics
NPI:1639871908
Name:GARCIA FERNANDEZ, SACHA BEATRIZ (ARNP)
Entity type:Individual
Prefix:
First Name:SACHA
Middle Name:BEATRIZ
Last Name:GARCIA FERNANDEZ
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6123 NW 174TH TER
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-4526
Mailing Address - Country:US
Mailing Address - Phone:786-768-3838
Mailing Address - Fax:
Practice Address - Street 1:6123 NW 174TH TER
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-4526
Practice Address - Country:US
Practice Address - Phone:786-768-3838
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11022952363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily