MEDICARE: SERGIO 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	207R00000X	Internal Medicine Physician	ME101684	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548462740
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SERGIO GARCIA MD

Provider Business Mailing Address
First Line	:	9950 SW 107TH AVE
Second Line	:	SUITE 101
City	:	MIAMI
State	:	FL
Zip	:	33176-2799
Country	:	US
Telephone Number	:	305-274-6422
Fax Number	:	305-274-5707

Provider Business Practice Location Address
First Line	:	9950 SW 107TH AVE
Second Line	:	SUITE 101
City	:	MIAMI
State	:	FL
Zip	:	33176-2799
Country	:	US
Telephone Number	:	305-274-6422
Fax Number	:	305-274-5707

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

Provider Enumeration Date	:	06/01/2007
Last Update Date	:	06/12/2014

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Directions to “ SERGIO GARCIA MD” Practice Location

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