Active NPI
Justo M Garcia MD PA
- Internal Medicine Physician
- Miami, FL
National Provider Identifier
1083878664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME96469
- Legal business name
- JUSTO M GARCIA MD PA
- Practice address
- 10401 SW 89TH Ave
Miami, FL 33176-3762 - Phone
- (786) 214-0214
- NPI assigned
- Jul 14, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Justo M Garcia, MD
- Title
- President
- Phone
- (786) 214-0214
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME96469 | FL | Primary |
Addresses
Primary practice location
10401 SW 89TH Ave
Miami, FL 33176-3762
Mailing address
10401 SW 89TH Ave
Miami, FL 33176-3762
Phone (786) 214-0214
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 277226400 | Medicaid | FL | |
| AD676Z | Other | FL | MEDICARE |
| AK475 | Other | FL | MEDICARE IDENTIFICATION NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Homestead, FL
- NPI 1619074614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215993600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287100800000",
"number": "1083878664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10401 SW 89TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331763762",
"telephone_number": "786-214-0214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10401 SW 89TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331763762",
"telephone_number": "786-214-0214"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUSTO M GARCIA MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-14",
"last_updated": "2010-10-15",
"status": "A",
"authorized_official_last_name": "GARCIA",
"authorized_official_first_name": "JUSTO",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "786-214-0214",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME96469",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "277226400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "AD676Z",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE IDENTIFICATION NUMBER",
"identifier": "AK475",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.