Provider Demographics
NPI:1457331720
Name:GARCIA, HECTOR (DPM)
Entity Type:Individual
Prefix:DR
First Name:HECTOR
Middle Name:
Last Name:GARCIA
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:HECTOR
Other - Middle Name:
Other - Last Name:GARCIA-RIVERA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPM
Mailing Address - Street 1:11452 QUAIL ROOST DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33157-6546
Mailing Address - Country:US
Mailing Address - Phone:305-969-3230
Mailing Address - Fax:305-969-5904
Practice Address - Street 1:11452 QUAIL ROOST DR
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33157-6546
Practice Address - Country:US
Practice Address - Phone:305-969-3230
Practice Address - Fax:305-969-5904
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-20
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO0002647213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL390382600Medicaid
FL390382600Medicaid
FL4423570001Medicare NSC
FL65529Medicare PIN