Provider Demographics
NPI:1912902750
Name:GARCIA, CARLOS A (MD)
Entity Type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:A
Last Name:GARCIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3641 S MIAMI AVE STE 250
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-4219
Mailing Address - Country:US
Mailing Address - Phone:305-854-2899
Mailing Address - Fax:305-859-9677
Practice Address - Street 1:3641 S MIAMI AVE STE 250
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-4219
Practice Address - Country:US
Practice Address - Phone:305-854-2899
Practice Address - Fax:305-859-9677
Is Sole Proprietor?:No
Enumeration Date:2005-06-17
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME88547207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME88547OtherMEDICAL LICENSE
FLBG6844561OtherDEA
FL542129332OtherTIN