MEDICARE: DR. LUIS E GARCIA-CHACON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208M00000X	Hospitalist Physician	ME109043	FL
2	208000000X	Pediatrics Physician	ME 109043	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164694642
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LUIS E GARCIA-CHACON M.D.

Provider Business Mailing Address
First Line	:	1611 NW 12TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33136-1005
Country	:	US
Telephone Number	:	305-585-7456
Fax Number	:	305-585-8257

Provider Business Practice Location Address
First Line	:	1611 NW 12TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33136-1005
Country	:	US
Telephone Number	:	305-585-7456
Fax Number	:	305-585-8257

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2008
Last Update Date	:	01/27/2026

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:

701 NW 27TH AVE
MIAMI, FL
33125-3012

Practice Phone: 786-744-1900
Practice Fax: 305-760-4141

1861785552 — DR. PATRICIA GISELLE ALVAREZ M.D.
Practice Location Address:

1611 NW 12TH AVE
MIAMI, FL
33136-1005

Practice Phone: 305-585-6042
Practice Fax:

1255687034 — LIZ YOVANNA BAYES SANTOS M.D.
Practice Location Address:

1601 NW 12TH AVE
MIAMI, FL
33136-1005

Practice Phone: 305-243-7570
Practice Fax: 305-243-3990

1265723910 — DR. MATTHEW RYAN IMM M.D.
Practice Location Address:

1611 NW 12TH AVE
MIAMI, FL
33136-1005

Practice Phone: 305-585-5954
Practice Fax: 305-585-7381

1295294312 — TAYLOR MICHELE ROSENBAUM MD
Practice Location Address:

1611 NW 12TH AVE
MIAMI, FL
33136-1005

Practice Phone: 305-585-5437
Practice Fax:

1891482303 — KWENER SIRENORD
Practice Location Address:

1611 NW 12TH AVE
MIAMI, FL
33136-1005

Practice Phone: 305-585-1111
Practice Fax:

Directions to “ DR. LUIS E GARCIA-CHACON M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.