Provider Demographics
NPI:1912994047
Name:GARCIA, ROSA MARIA (MD)
Entity Type:Individual
Prefix:DR
First Name:ROSA
Middle Name:MARIA
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 1:7265 SW 93RD AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3655
Mailing Address - Country:US
Mailing Address - Phone:305-274-1054
Mailing Address - Fax:305-596-1081
Practice Address - Street 1:7265 SW 93RD AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3655
Practice Address - Country:US
Practice Address - Phone:305-274-1054
Practice Address - Fax:305-596-1081
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-04
Last Update Date:2012-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0045499207R00000X
FL0045499207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL041626600Medicaid
FL041626600Medicaid
FL34039Medicare PIN