Active NPI
Gloria Garcia, M.D.
- Internal Medicine Physician
- Stuart, FL
National Provider Identifier
1881894871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME55710
- Practice address
- 2021 SE Riverside Dr
Stuart, FL 34996-1209 - Phone
- (772) 486-2854
- NPI assigned
- Jul 19, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME55710 | FL | Primary |
Addresses
Primary practice location
2021 SE Riverside Dr
Stuart, FL 34996-1209
Mailing address
2021 SE Riverside Dr
Stuart, FL 34996-1209
Phone (772) 486-2854
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 373496000 | Medicaid | FL |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME55710 | FL | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253232000000",
"number": "1881894871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 SE RIVERSIDE DR",
"city": "STUART",
"state": "FL",
"postal_code": "349961209",
"telephone_number": "772-486-2854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 SE RIVERSIDE DR",
"city": "STUART",
"state": "FL",
"postal_code": "349961209",
"telephone_number": "772-486-2854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "GLORIA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-19",
"last_updated": "2009-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME55710",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "373496000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.