MEDICARE: MANUEL A. GARCIA MDPA

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	2084P0800X	Psychiatry Physician	ME103739	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	:	1861718496
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MANUEL A. GARCIA MDPA

Provider Business Mailing Address
First Line	:	1695 NW 110 AVE
Second Line	:	SUITE #309
City	:	MIAMI
State	:	FL
Zip	:	33172-1930
Country	:	US
Telephone Number	:	305-551-2828
Fax Number	:	305-551-4334

Provider Business Practice Location Address
First Line	:	1695 NW 110 AVE
Second Line	:	SUITE #309
City	:	MIAMI
State	:	FL
Zip	:	33172-1930
Country	:	US
Telephone Number	:	305-551-2828
Fax Number	:	305-551-4334

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	DR. MANUEL ANTONIO GARCIA
Credential	:	MD
Telephone Number	:	305-551-2828

Provider Enumeration Date	:	04/07/2010
Last Update Date	:	05/05/2022

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