Healthcare Provider Details

I. General information

NPI: 1144780644
Provider Name (Legal Business Name): CARLOS E GARCIA RODRIGUEZ M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2019
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8900 N KENDALL DR
MIAMI FL
33176-2118
US

IV. Provider business mailing address

50 MINORCA AVE APT 1514
CORAL GABLES FL
33134-4570
US

V. Phone/Fax

Practice location:
  • Phone: 602-516-5993
  • Fax:
Mailing address:
  • Phone: 602-516-9939
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberME151135
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberME151135
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberT6239
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: