Provider Demographics
NPI:1194829747
Name:OCHOA-GARCIA, DELIA (DO)
Entity Type:Individual
Prefix:MRS
First Name:DELIA
Middle Name:
Last Name:OCHOA-GARCIA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:DELIA
Other - Middle Name:
Other - Last Name:OCHOA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:1000 PARK CENTRE BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33169-5373
Mailing Address - Country:US
Mailing Address - Phone:305-621-0023
Mailing Address - Fax:305-623-9188
Practice Address - Street 1:5961 NW 173RD DRIVE
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33015
Practice Address - Country:US
Practice Address - Phone:305-556-7500
Practice Address - Fax:305-503-3476
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2012-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL057705207R00000X
FLOS7705207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL58859YOtherMEDICARE ID
H40931Medicare UPIN