MEDICARE: ALVAREZ & GARCIA, PA.

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	1223G0001X	General Practice Dentistry	DN12696	FL

General Provider Information

NPI Number	:	1811912660
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALVAREZ & GARCIA, PA.

Provider Business Mailing Address
First Line	:	6641-A SOUTH DIXIE HIGHWAY
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33143-7919
Country	:	US
Telephone Number	:	305-667-0306
Fax Number	:	305-667-0368

Provider Business Practice Location Address
First Line	:	6641-A SOUTH DIXIE HIGHWAY
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33143-7919
Country	:	US
Telephone Number	:	305-667-0306
Fax Number	:	305-667-0368

Authorized Official
Title or Position	:	PRESIDENT/DENTIST
Name	:	DR. MARIO KENNETH GARCIA
Credential	:	D.D.S
Telephone Number	:	305-667-0306

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	05/27/2015

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