Provider Demographics
NPI:1740580687
Name:MANUEL GARCIA-FRANGIE MD PA
Entity Type:Organization
Organization Name:MANUEL GARCIA-FRANGIE MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:GARCIA-FRANGIE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-326-3343
Mailing Address - Street 1:PO BOX 227804
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33222-7804
Mailing Address - Country:US
Mailing Address - Phone:305-326-3343
Mailing Address - Fax:305-325-0887
Practice Address - Street 1:1321 NW 14TH ST
Practice Address - Street 2:STE 400
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-1673
Practice Address - Country:US
Practice Address - Phone:305-326-3343
Practice Address - Fax:305-325-0887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-26
Last Update Date:2013-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0080806207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2594021003Medicaid
FLET355AMedicare PIN
H29402Medicare UPIN