MEDICARE: RAFAEL GARCIA, M.D. ,M.O.,P.A.

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	ME77010	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	:	1790091882
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAFAEL GARCIA, M.D. ,M.O.,P.A.

Provider Business Mailing Address
First Line	:	705 E 8TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33010-4613
Country	:	US
Telephone Number	:	305-603-9751
Fax Number	:

Provider Business Practice Location Address
First Line	:	705 E 8TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33010-4613
Country	:	US
Telephone Number	:	305-603-9751
Fax Number	:

Authorized Official
Title or Position	:	OWNER PHYSICIAN
Name	:	DR. RAFAEL GARCIA
Credential	:
Telephone Number	:	305-603-9751

Provider Enumeration Date	:	08/26/2010
Last Update Date	:	08/26/2010

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