Dagoberto J Garcia Jr MD PA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

DAGOBERTO J GARCIA JR MD PA

Practice address

1172 S Dixie Hwy # 500
Coral Gables, FL 33146-2918

Phone

(786) 368-7490

Fax

(888) 550-9326

NPI assigned

May 27, 2009

Last updated

Sep 20, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dagoberto Jose Garcia, MDNPI 1023000510

Title

President

Phone

(786) 368-7490

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Networks

• HealthSun Health Plans Network

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dagoberto Jose Garcia Jr., MD

  • Physical Medicine & Rehabilitation Physician
  • Coral Gables, FL
  • NPI 1023000510
  Medicare reassignment NPD Authorized official
• Jorge Triana

  • Adult Health Nurse Practitioner
  • Miami, FL
  • NPI 1700125143
  Medicare reassignment NPD
• Ivonne Arean, P.A

  • Physician Assistant
  • Miami, FL
  • NPI 1063489995
  Medicare reassignment
• Jennifer B. Marjama, PA-C

  • Medical Physician Assistant
  • Chiefland, FL
  • NPI 1215224290
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1447485909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1172 S DIXIE HWY # 500",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462918",
            "telephone_number": "786-368-7490",
            "fax_number": "888-550-9326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1172 S DIXIE HWY # 500",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462918",
            "telephone_number": "786-368-7490",
            "fax_number": "888-550-9326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAGOBERTO J GARCIA JR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-27",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "DAGOBERTO",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-368-7490",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002590200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME68347",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Medicine & Rehabilitation Physician in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.

Verify at the official NPI Registry.