Healthcare Provider Details

I. General information

NPI: 1942590104
Provider Name (Legal Business Name): VICENTE GARI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: VICENTE GARI M.D.

II. Dates (important events)

Enumeration Date: 04/08/2011
Last Update Date: 10/03/2023
Certification Date: 10/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3661 S MIAMI AVE STE 1005
MIAMI FL
33133-4214
US

IV. Provider business mailing address

7300 SW 93RD AVE SUITE 200
MIAMI FL
33173-5200
US

V. Phone/Fax

Practice location:
  • Phone: 786-667-7177
  • Fax: 786-558-7199
Mailing address:
  • Phone: 305-971-0510
  • Fax: 305-663-5929

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number15587
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberME128877
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: