Healthcare Provider Details

I. General information

NPI: 1447404009
Provider Name (Legal Business Name): JUAN M. GARCES, M.D., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2008
Last Update Date: 11/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

351 NW 42ND AVE SUITE 503
MIAMI FL
33126-5683
US

IV. Provider business mailing address

351 NW 42ND AVE SUITE 503
MIAMI FL
33126-5683
US

V. Phone/Fax

Practice location:
  • Phone: 305-444-1244
  • Fax: 305-642-7890
Mailing address:
  • Phone: 305-444-1244
  • Fax: 305-642-7890

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberME0045734
License Number StateFL

VIII. Authorized Official

Name: JUAN M GARCES
Title or Position: PRESIDENT
Credential: M.D.
Phone: 305-444-1244