Provider Demographics
NPI:1538622535
Name:GARZA, ALYNA YSELA (MD)
Entity type:Individual
Prefix:
First Name:ALYNA
Middle Name:YSELA
Last Name:GARZA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:172 MANOR CIR
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-1643
Mailing Address - Country:US
Mailing Address - Phone:772-873-7114
Mailing Address - Fax:772-873-7115
Practice Address - Street 1:1721 SW GATLIN BLVD
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34953-2757
Practice Address - Country:US
Practice Address - Phone:772-873-7114
Practice Address - Fax:772-873-7115
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-08
Last Update Date:2025-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT7563208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty