Organization Active NPI

Mara Elena de Garcia MD PA

  • Family Medicine Physician
  • Miami Beach, FL
National Provider Identifier
1790058253
Registry record updated Jun 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME 34210 Issued in FL
Legal business name
MARA ELENA DE GARCIA MD PA
Practice address
1562 Washington Ave
Miami Beach, FL 33139-7801
Phone
(305) 531-4186
Fax
(305) 674-0159
NPI assigned
Feb 14, 2012
Last updated
Jun 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2012

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

Authorized official

Name
Mara Elena De Garcia, MD
Title
President
Phone
(305) 531-4186

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME 34210 FL Primary

Addresses

Primary practice location

1562 Washington Ave
Miami Beach, FL 33139-7801

Mailing address

1562 Washington Ave
Miami Beach, FL 33139-7801
Phone (305) 531-4186

National Provider Directory

National Provider Directory

Locations

1562 Washington Ave
Miami Beach, FL 33139
Phone (305) 531-4186

NPI Registry JSON

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

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1790058253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1562 WASHINGTON AVE",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331397801",
            "telephone_number": "305-531-4186",
            "fax_number": "305-674-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1562 WASHINGTON AVE",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331397801",
            "telephone_number": "305-531-4186",
            "fax_number": "305-674-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARA ELENA DE GARCIA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-14",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "DE GARCIA",
        "authorized_official_first_name": "MARA",
        "authorized_official_middle_name": "ELENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-531-4186",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 34210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.