Provider Demographics
NPI:1639535016
Name:ANA MARIA GARCIA IGUARAN MD, PA
Entity Type:Organization
Organization Name:ANA MARIA GARCIA IGUARAN MD, PA
Other - Org Name:THRIVE OBGYN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN, PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:GARCIA IGUARAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MS
Authorized Official - Phone:405-317-1258
Mailing Address - Street 1:1951 SW 172ND AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33029-5613
Mailing Address - Country:US
Mailing Address - Phone:786-581-6566
Mailing Address - Fax:954-538-4639
Practice Address - Street 1:1951 SW 172ND AVE STE 200
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33029-5613
Practice Address - Country:US
Practice Address - Phone:786-581-6566
Practice Address - Fax:954-538-4639
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-14
Last Update Date:2016-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME123805207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty