MEDICARE: TRINIDAD E GARCIA MD

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	207VG0400X	Gynecology Physician	ME0021723	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	:	1407024292
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRINIDAD E GARCIA MD

Provider Business Mailing Address
First Line	:	306 NE 19TH DR
Second Line	:
City	:	OKEECHOBEE
State	:	FL
Zip	:	34972-1911
Country	:	US
Telephone Number	:	863-763-6427
Fax Number	:	863-763-0098

Provider Business Practice Location Address
First Line	:	306 NE 19TH DR
Second Line	:
City	:	OKEECHOBEE
State	:	FL
Zip	:	34972-1911
Country	:	US
Telephone Number	:	863-763-6427
Fax Number	:	863-763-0098

Authorized Official
Title or Position	:	M.D.
Name	:	DR. TRINIDAD ESPIRITU GARCIA
Credential	:	M.D.
Telephone Number	:	863-763-6427

Provider Enumeration Date	:	02/14/2008
Last Update Date	:	02/14/2008

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