Provider Demographics
NPI:1336880673
Name:FERNANDEZ GARCIA, KARINA (SA-C)
Entity type:Individual
Prefix:
First Name:KARINA
Middle Name:
Last Name:FERNANDEZ GARCIA
Suffix:
Gender:F
Credentials:SA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9301 SW 92ND AVE APT C316
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2138
Mailing Address - Country:US
Mailing Address - Phone:786-278-7211
Mailing Address - Fax:
Practice Address - Street 1:9301 SW 92ND AVE APT C316
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2138
Practice Address - Country:US
Practice Address - Phone:786-278-7211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-01
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL21-760246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant