Provider Demographics
NPI:1497949424
Name:GARCIA, MIREYA (MD)
Entity Type:Individual
Prefix:
First Name:MIREYA
Middle Name:
Last Name:GARCIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8352 SW 8TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-4180
Mailing Address - Country:US
Mailing Address - Phone:305-262-8282
Mailing Address - Fax:305-262-8295
Practice Address - Street 1:8352 SW 8TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-4180
Practice Address - Country:US
Practice Address - Phone:305-262-8282
Practice Address - Fax:305-262-8295
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-03
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 99881207R00000X, 207R00000X
FL261QC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health