Active NPI
Bernardo Raul Garcia-Granda, M.D.
- Psychiatry Physician
- Miami, FL
National Provider Identifier
1154414654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME0034067
- Practice address
- 11760 Bird Road
Suite 539
Miami, FL 33175 - Phone
- (305) 228-6200
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME0034067 | FL | Primary |
Addresses
Primary practice location
11760 Bird Road
Suite 539
Miami, FL 33175
Mailing address
11760 Bird Road
Suite 539
Miami, FL 33175
Phone (305) 228-6200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0034067 | FL | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154414654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11760 BIRD ROAD",
"address_2": "SUITE 539",
"city": "MIAMI",
"state": "FL",
"postal_code": "33175",
"telephone_number": "305-228-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11760 BIRD ROAD",
"address_2": "SUITE 539",
"city": "MIAMI",
"state": "FL",
"postal_code": "33175",
"telephone_number": "305-228-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA-GRANDA",
"first_name": "BERNARDO",
"middle_name": "RAUL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME0034067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
- Garcia-Estrada, M.D., Kidney Associates, P.a.
- Manuel Garcia-Estrada, M.D.
- Enmabel Angelica Garcia-Farias, RBT
- Franklin Garcia-Godoy, D.O.
- Migdalia Isabel Garcia-Gonzalez, M.D.
- Paola Garcia-Herreros, ARNP
- Kayla Garcia-Madden, DC
- Garcia-Mari Investments Inc.
- Melissa Garcia-Martinez, LCSW
- Aquiles Javier Garcia-Menocal, AG-ACNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.