Provider Demographics
NPI:1063199412
Name:GARCES, JANET (RDN LD/N MIEP IFMNT)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:GARCES
Suffix:
Gender:F
Credentials:RDN LD/N MIEP IFMNT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 SUNNY ISLES BLVD APT 1517
Mailing Address - Street 2:
Mailing Address - City:SUNNY ISLES BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-5092
Mailing Address - Country:US
Mailing Address - Phone:786-302-9378
Mailing Address - Fax:
Practice Address - Street 1:400 SUNNY ISLES BLVD APT 1517
Practice Address - Street 2:
Practice Address - City:SUNNY ISLES BEACH
Practice Address - State:FL
Practice Address - Zip Code:33160-5092
Practice Address - Country:US
Practice Address - Phone:786-302-9378
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-28
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT88715133V00000X
FLND7889133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered