Provider Demographics
NPI:1689024846
Name:GARCIA RANGEL, ANNAY
Entity type:Individual
Prefix:
First Name:ANNAY
Middle Name:
Last Name:GARCIA RANGEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 FONTAINEBLEAU BLVD
Mailing Address - Street 2:SUITE 1R4A
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33172-7018
Mailing Address - Country:US
Mailing Address - Phone:305-551-6373
Mailing Address - Fax:
Practice Address - Street 1:7515 SW 153RD CT
Practice Address - Street 2:APT 101-15
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33193-1749
Practice Address - Country:US
Practice Address - Phone:786-325-6432
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-20
Last Update Date:2016-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst