Healthcare Provider Details

I. General information

NPI: 1568762763
Provider Name (Legal Business Name): RENE ARMANDO GARCIA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/22/2010
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
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: 305-298-3172
  • Fax:
Mailing address:
  • Phone: 850-999-2328
  • Fax: 850-320-6114

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberME123224
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME123224
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: