Provider Demographics
NPI:1659814473
Name:GARCIA MERCEDES, ARNP,PA
Entity Type:Organization
Organization Name:GARCIA MERCEDES, ARNP,PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MERCEDES
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:305-667-1080
Mailing Address - Street 1:6850 SW 24TH ST
Mailing Address - Street 2:SUITE 506
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-1758
Mailing Address - Country:US
Mailing Address - Phone:305-667-1080
Mailing Address - Fax:
Practice Address - Street 1:6850 SW 24TH ST
Practice Address - Street 2:SUITE 506
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-1758
Practice Address - Country:US
Practice Address - Phone:305-667-1080
Practice Address - Fax:786-703-4293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-28
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 9303206261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care