Provider Demographics
NPI:1861882433
Name:GARCIA AMAYA, ROSA MARIA (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:ROSA
Middle Name:MARIA
Last Name:GARCIA AMAYA
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1734 SW 151ST PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33185-5694
Mailing Address - Country:US
Mailing Address - Phone:786-991-3615
Mailing Address - Fax:
Practice Address - Street 1:13701 SW 88TH ST STE 202A
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-1320
Practice Address - Country:US
Practice Address - Phone:786-519-1727
Practice Address - Fax:786-228-2212
Is Sole Proprietor?:No
Enumeration Date:2015-02-03
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X
FL9496632163WC0400X
FL09191099363LF0000X
FL11004448363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No163WC0400XNursing Service ProvidersRegistered NurseCase Management