Provider Demographics
NPI:1780001909
Name:GARCIA, AMNERYS R (MD)
Entity Type:Individual
Prefix:
First Name:AMNERYS
Middle Name:R
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:PO BOX 654437
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33265-4437
Mailing Address - Country:US
Mailing Address - Phone:786-804-3357
Mailing Address - Fax:
Practice Address - Street 1:700 E 25TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33013-3817
Practice Address - Country:US
Practice Address - Phone:786-804-3357
Practice Address - Fax:786-536-7262
Is Sole Proprietor?:No
Enumeration Date:2014-03-26
Last Update Date:2019-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3067352084N0400X
390200000X
FL1355662084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program