Provider Demographics
NPI:1588317044
Name:PRAT GARCIA, HAROLD ISAAC (APRN)
Entity type:Individual
Prefix:
First Name:HAROLD
Middle Name:ISAAC
Last Name:PRAT GARCIA
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4692 NW 183RD ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33055-3054
Mailing Address - Country:US
Mailing Address - Phone:786-625-7774
Mailing Address - Fax:786-625-7714
Practice Address - Street 1:4692 NW 183RD ST
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33055-3054
Practice Address - Country:US
Practice Address - Phone:786-625-7774
Practice Address - Fax:786-625-7714
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-03
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11017915363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily