Provider Demographics
NPI:1265452999
Name:GARCIA, ROBERTO F (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERTO
Middle Name:F
Last Name:GARCIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:545 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33143-6353
Mailing Address - Country:US
Mailing Address - Phone:305-668-9497
Mailing Address - Fax:305-668-9497
Practice Address - Street 1:971 NW 2ND ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33128-1205
Practice Address - Country:US
Practice Address - Phone:305-545-5180
Practice Address - Fax:305-324-3489
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME038168207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME038168OtherSTAE LICENSE
FLME038168OtherSTAE LICENSE
AG1079967OtherDEA
FLD64911Medicare UPIN