Healthcare Provider Details

I. General information

NPI: 1669517785
Provider Name (Legal Business Name): SANTIAGO ANDRES GARCIA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 08/17/2023
Certification Date: 08/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2123 AUBURN AVE STE 320
CINCINNATI OH
45219-2906
US

IV. Provider business mailing address

2123 AUBURN AVE STE 320
CINCINNATI OH
45219-2906
US

V. Phone/Fax

Practice location:
  • Phone: 513-206-1120
  • Fax:
Mailing address:
  • Phone: 513-206-1122
  • Fax: 513-206-1184

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberME 91922
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number51708
License Number StateMN
# 3
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number35.144012
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: