Provider Demographics
NPI:1073577011
Name:LAWER GARCIA, TATIANA MARIE (MD)
Entity Type:Individual
Prefix:
First Name:TATIANA
Middle Name:MARIE
Last Name:LAWER GARCIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9951 SW 40TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-3989
Mailing Address - Country:US
Mailing Address - Phone:305-552-5350
Mailing Address - Fax:305-220-5602
Practice Address - Street 1:9951 BIRD ROAD
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165
Practice Address - Country:US
Practice Address - Phone:305-552-5350
Practice Address - Fax:305-220-5602
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2009-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0086663208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG56268Medicare UPIN