Healthcare Provider Details

I. General information

NPI: 1598679334
Provider Name (Legal Business Name): PG DIGESTIVE HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12391 SW 75TH ST
MIAMI FL
33183-3600
US

IV. Provider business mailing address

12391 SW 75TH ST
MIAMI FL
33183-3600
US

V. Phone/Fax

Practice location:
  • Phone: 305-342-7038
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: PATRICIA GARCIA CHIROLES
Title or Position: CEO
Credential: MD
Phone: 305-342-7038