Healthcare Provider Details

I. General information

NPI: 1124942065
Provider Name (Legal Business Name): CKD CORAL GABLES CLINIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

747 PONCE DE LEON BLVD STE 501
CORAL GABLES FL
33134-2073
US

IV. Provider business mailing address

747 PONCE DE LEON BLVD STE 501
CORAL GABLES FL
33134-2073
US

V. Phone/Fax

Practice location:
  • Phone: 305-586-3242
  • Fax:
Mailing address:
  • Phone: 305-586-3242
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RENE ARMANDO GARCIA
Title or Position: OWNER
Credential: MD
Phone: 305-298-3172