Provider Demographics
NPI:1063240844
Name:ARTILES GARCIA, ALBERTO ARISTIDES SR (SURGICAL ASSISTANT)
Entity type:Individual
Prefix:
First Name:ALBERTO
Middle Name:ARISTIDES
Last Name:ARTILES GARCIA
Suffix:SR
Gender:M
Credentials:SURGICAL ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27420 SW 135TH AVENUE RD
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-8292
Mailing Address - Country:US
Mailing Address - Phone:786-582-7791
Mailing Address - Fax:
Practice Address - Street 1:4950 SW 8TH ST
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-2400
Practice Address - Country:US
Practice Address - Phone:305-406-9055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-23
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
24-371246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant