MEDICARE: DR. ANDRE XAVIER 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	207Q00000X	Family Medicine Physician	ME148293	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	:	1982108031
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDRE XAVIER GARCIA MD

Provider Business Mailing Address
First Line	:	4692 NW 183RD ST
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33055-3054
Country	:	US
Telephone Number	:	786-625-7774
Fax Number	:	786-625-7714

Provider Business Practice Location Address
First Line	:	4692 NW 183RD ST
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33055-3054
Country	:	US
Telephone Number	:	786-625-7774
Fax Number	:	786-625-7714

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

Provider Enumeration Date	:	03/22/2018
Last Update Date	:	09/04/2024

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