Provider Demographics
NPI:1467596833
Name:GARCIA, JOSE (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:
Last Name:GARCIA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15542 SW 54TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33185-4146
Mailing Address - Country:US
Mailing Address - Phone:305-221-0166
Mailing Address - Fax:
Practice Address - Street 1:15118 SW 72ND ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33193-3228
Practice Address - Country:US
Practice Address - Phone:305-386-9559
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-17
Last Update Date:2009-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0005821111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1720747OtherCIGNA INSURANCE
FL22411OtherBLUE CROSS BLUE SHIELD
FL1720747OtherCIGNA INSURANCE