Provider Demographics
NPI:1093820243
Name:GARRI, JOSE I (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:I
Last Name:GARRI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:6280 SUNSET DR
Mailing Address - Street 2:# 400
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-4827
Mailing Address - Country:US
Mailing Address - Phone:305-665-8730
Mailing Address - Fax:305-665-8736
Practice Address - Street 1:6280 SUNSET DRIVE
Practice Address - Street 2:STE 400
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143
Practice Address - Country:US
Practice Address - Phone:305-665-8730
Practice Address - Fax:305-665-8736
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA83387208600000X
FLME748582086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A833870OtherMEDICAL PPIN #