Justo M Garcia Md Pa | |
10401 Sw 89th Ave Miami FL 33176-3762 | |
(786) 214-0214 | |
Not Available |
Full Name | Justo M Garcia Md Pa |
---|---|
Speciality | Internal Medicine |
Location | 10401 Sw 89th Ave, Miami, Florida |
Authorized Official Name and Position | Justo M Garcia (PRESIDENT) |
Authorized Official Contact | 7862140214 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Justo M Garcia Md Pa 10401 Sw 89th Ave Miami FL 33176-3762 Ph: (786) 214-0214 | Justo M Garcia Md Pa 10401 Sw 89th Ave Miami FL 33176-3762 Ph: (786) 214-0214 |
NPI Number | 1083878664 |
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Provider Enumeration Date | 07/14/2008 |
Last Update Date | 10/15/2010 |
Medicare PECOS PAC ID | 0345312310 |
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Medicare Enrollment ID | O20080708000487 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083878664 | NPI | - | NPPES |
277226400 | Medicaid | FL | |
AD676Z | Other | FL | MEDICARE |
AK475 | Other | FL | MEDICARE IDENTIFICATION NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME96469 (Florida) | Primary |
Provider Name | Justo M Garcia |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1619074614 PECOS PAC ID: 7719078773 Enrollment ID: I20070806000065 |
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