MEDICARE: NORIEL GARCIA

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	122300000X	Dentist	30025574	OH

General Provider Information

NPI Number	:	1477045300
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NORIEL GARCIA

Provider Business Mailing Address
First Line	:	1362 SW 145TH PL
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33184-3103
Country	:	US
Telephone Number	:	786-624-1283
Fax Number	:

Provider Business Practice Location Address
First Line	:	13907 CEDAR RD
Second Line	:
City	:	SOUTH EUCLID
State	:	OH
Zip	:	44118-3203
Country	:	US
Telephone Number	:	216-485-3216
Fax Number	:	913-752-9116

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

Provider Enumeration Date	:	06/06/2018
Last Update Date	:	01/29/2020

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Directions to “ NORIEL GARCIA ” Practice Location

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