Individual provider · NPI-1

Raciel Alonso Garcia, APRN

Nurse Practitioner, Psych/Mental Health · Port St Lucie, FL

NPI number1902550460
StatusActive
Last updated in NPPESOct 8, 2025

Details

NPI
1902550460
Entity type
Individual (NPI-1)
Name
Raciel Alonso Garcia
Credential
APRN
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 3, 2022
Certification date
Oct 8, 2025
Last updated
Oct 8, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0808X Nurse Practitioner, Psych/Mental HealthAPRN11018353FLYes
363LF0000X Nurse Practitioner, FamilyF022220136FL
363LF0000X Nurse Practitioner, FamilyAPRN11018353FL

Practice location

1599 Se Lennard Rd
Port St Lucie, FL 34952-6542

Phone 772-323-0762 · Fax 772-413-0045

Mailing address

Po Box 4189
Deerfield Beach, FL 33442-4189

Phone 954-363-9582 · Fax 954-363-9663

Other practice locations

672 Sw Prima Vista Blvd
Port St Lucie, FL 34983-1820

Phone 772-905-2560

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