Healthcare Provider Details

I. General information

NPI: 1629501762
Provider Name (Legal Business Name): MARIA DE LOURDES GARCIA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2017
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1499 W PALMETTO PARK RD STE 225
BOCA RATON FL
33486-3322
US

IV. Provider business mailing address

1499 W PALMETTO PARK RD STE 225
BOCA RATON FL
33486-3322
US

V. Phone/Fax

Practice location:
  • Phone: 561-902-1233
  • Fax:
Mailing address:
  • Phone: 561-902-1233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberME160499
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: