Provider Demographics
NPI:1730538778
Name:GARCIA CHIRINO, OSMEL
Entity type:Individual
Prefix:
First Name:OSMEL
Middle Name:
Last Name:GARCIA CHIRINO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29995 SW 157TH PL
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33033-2420
Mailing Address - Country:US
Mailing Address - Phone:305-873-4065
Mailing Address - Fax:305-873-4065
Practice Address - Street 1:100 NE 15TH ST STE 101C
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33030-4564
Practice Address - Country:US
Practice Address - Phone:305-873-4065
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-09
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
FL0100037171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst