Provider Demographics
NPI:1760932719
Name:GARCIA SAEZ MEDICAL GROUP CORP
Entity Type:Organization
Organization Name:GARCIA SAEZ MEDICAL GROUP CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GEISHA
Authorized Official - Middle Name:O
Authorized Official - Last Name:GARCIA SAEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-327-6959
Mailing Address - Street 1:411 SW 27TH AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-2903
Mailing Address - Country:US
Mailing Address - Phone:786-534-7946
Mailing Address - Fax:786-534-7513
Practice Address - Street 1:411 SW 27TH AVE STE 200
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-2903
Practice Address - Country:US
Practice Address - Phone:786-534-7946
Practice Address - Fax:786-534-7513
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-13
Last Update Date:2021-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLACN 674208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1043638281Medicaid