Provider Demographics
NPI:1508220385
Name:GARCIA, BERENICE ANGELICA (MD)
Entity Type:Individual
Prefix:DR
First Name:BERENICE
Middle Name:ANGELICA
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 1:401 OPA LOCKA BLVD
Mailing Address - Street 2:
Mailing Address - City:OPA LOCKA
Mailing Address - State:FL
Mailing Address - Zip Code:33054-3528
Mailing Address - Country:US
Mailing Address - Phone:786-535-7200
Mailing Address - Fax:786-535-7294
Practice Address - Street 1:401 OPA LOCKA BLVD
Practice Address - Street 2:
Practice Address - City:OPA LOCKA
Practice Address - State:FL
Practice Address - Zip Code:33054-3528
Practice Address - Country:US
Practice Address - Phone:786-535-7200
Practice Address - Fax:786-535-7294
Is Sole Proprietor?:No
Enumeration Date:2016-04-07
Last Update Date:2022-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME137895207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine