MEDICARE: DR. RENE J. GARCIA M.D.

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	207Q00000X	Family Medicine Physician	ME 0038590	FL

General Provider Information

NPI Number	:	1316986995
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RENE J. GARCIA M.D.

Provider Business Mailing Address
First Line	:	10260 SW 56TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-7001
Country	:	US
Telephone Number	:	305-596-1433
Fax Number	:	305-596-7375

Provider Business Practice Location Address
First Line	:	10260 SW 56TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-7001
Country	:	US
Telephone Number	:	305-596-1433
Fax Number	:	305-596-7375

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

Provider Enumeration Date	:	06/06/2006
Last Update Date	:	12/09/2013

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