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NPI Code Detail

MEDICARE: IVY GARCIA MD

MEDICARE: IVY 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
1208100000XPhysical Medicine & Rehabilitation PhysicianME0100180FL

Other Identifiers

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

General Provider Information

NPI Number : 1912412578
Entity Type Code : Individual
Provider Name (Legal Business Name) : IVY GARCIA MD
Provider Business Mailing Address
First Line : PO BOX 7410884
Second Line :
City : CHICAGO
State : IL
Zip : 60674-0884
Country : US
Telephone Number : 702-899-0595
Fax Number : 702-977-1496
Provider Business Practice Location Address
First Line : 831 S STATE ROAD 434
Second Line :
City : ALTAMONTE SPRINGS
State : FL
Zip : 32714-3502
Country : US
Telephone Number : 872-231-3162
Fax Number : 702-977-1496
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2017
Last Update Date : 10/07/2025

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