MEDICARE: MR. HUGO GREGORIO GARCIA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	ME30623	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	95726	OTHER	FL	BCBS
2	001594	OTHER	FL	NHP

General Provider Information

NPI Number	:	1164412292
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. HUGO GREGORIO GARCIA MD

Provider Business Mailing Address
First Line	:	9193 SUNSET DR
Second Line	:	SUITE 210
City	:	MIAMI
State	:	FL
Zip	:	33173-3487
Country	:	US
Telephone Number	:	305-595-5558
Fax Number	:	305-595-4121

Provider Business Practice Location Address
First Line	:	9193 SUNSET DR
Second Line	:	SUITE 210
City	:	MIAMI
State	:	FL
Zip	:	33173-3487
Country	:	US
Telephone Number	:	305-595-5558
Fax Number	:	305-595-4121

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/28/2005
Last Update Date	:	09/06/2007

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