MEDICARE: EFRAIN GARCIA AESTHETIC INC

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	207RI0200X	Infectious Disease Physician	ME067732	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	:	1184152423
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EFRAIN GARCIA AESTHETIC INC

Provider Business Mailing Address
First Line	:	5040 NW 7TH ST STE 170
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-3425
Country	:	US
Telephone Number	:	305-438-2346
Fax Number	:	786-476-2822

Provider Business Practice Location Address
First Line	:	5040 NW 7TH ST STE 170
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-3425
Country	:	US
Telephone Number	:	305-438-2346
Fax Number	:	786-476-2822

Authorized Official
Title or Position	:	OWNER
Name	:	DR. EFRAIN GARCIA
Credential	:	MD
Telephone Number	:	305-608-1463

Provider Enumeration Date	:	05/31/2017
Last Update Date	:	07/21/2022

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