Provider Demographics
NPI:1780768010
Name:EFRAIN GARCIA MD PA
Entity type:Organization
Organization Name:EFRAIN GARCIA MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BEATE
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-857-3330
Mailing Address - Street 1:3661 S MIAMI AVE
Mailing Address - Street 2:SUITE 702
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-4236
Mailing Address - Country:US
Mailing Address - Phone:305-857-3330
Mailing Address - Fax:305-857-3338
Practice Address - Street 1:3661 S MIAMI AVE
Practice Address - Street 2:SUITE 702
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-4236
Practice Address - Country:US
Practice Address - Phone:305-857-3330
Practice Address - Fax:305-857-3338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME67732207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL255508500Medicaid
FL27635OtherBLUE CROSS BLUE SHIELD OF FLORIDA
FL27635OtherBLUE CROSS BLUE SHIELD OF FLORIDA
FLG13250Medicare UPIN