Provider Demographics
NPI:1982108031
Name:GARCIA, ANDRE XAVIER (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDRE
Middle Name:XAVIER
Last Name:GARCIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2230 NW 95TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33147-2414
Mailing Address - Country:US
Mailing Address - Phone:305-827-2977
Mailing Address - Fax:305-820-6374
Practice Address - Street 1:2230 NW 95TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33147-2414
Practice Address - Country:US
Practice Address - Phone:305-827-2977
Practice Address - Fax:305-820-6374
Is Sole Proprietor?:No
Enumeration Date:2018-03-22
Last Update Date:2021-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME148293207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine