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General NPI Number Information
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NPI Number | 1023219763
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Entity Type | Individual
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Provider Name | JORGE LUIS GARCIA M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/30/2007
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Last Update Date | 11/28/2025
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Provider Practice Location Address
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Address Line | 4445 W 16TH AVE STE 100
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City | HIALEAH
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State | FL
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Zip | 33012-7192
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Country | US
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Telephone | 305-558-8687
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Fax | 305-558-8097
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Provider Business Mailing Address
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Address Line | 1442 SW 118TH CT
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City | MIAMI
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State | FL
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Zip | 33184
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Country | US
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Telephone | 305-282-6035
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ACN394
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 55147-20
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME133231
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME133231
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License Number State | FL
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