Provider Demographics
NPI:1831623289
Name:GARCIA GLINOS, ALEXANDRA NASTASSIA (MD)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:NASTASSIA
Last Name:GARCIA GLINOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ALEXANDRA
Other - Middle Name:NASTASSIA
Other - Last Name:GARCIA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:5861 SW 89TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-1695
Mailing Address - Country:US
Mailing Address - Phone:786-253-1625
Mailing Address - Fax:
Practice Address - Street 1:8940 N KENDALL DR STE 701E
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2100
Practice Address - Country:US
Practice Address - Phone:786-534-8884
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-12
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME168836207VF0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyUrogynecology and Reconstructive Pelvic Surgery