Healthcare Provider Details

I. General information

NPI: 1447485909
Provider Name (Legal Business Name): DAGOBERTO J GARCIA JR MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2009
Last Update Date: 09/20/2023
Certification Date: 09/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1172 S DIXIE HWY # 500
CORAL GABLES FL
33146-2918
US

IV. Provider business mailing address

1172 S DIXIE HWY # 500
CORAL GABLES FL
33146-2918
US

V. Phone/Fax

Practice location:
  • Phone: 786-368-7490
  • Fax: 888-550-9326
Mailing address:
  • Phone: 786-368-7490
  • Fax: 888-550-9326

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: DAGOBERTO JOSE GARCIA
Title or Position: PRESIDENT
Credential: MD
Phone: 786-368-7490