Individual provider Active NPI

Raul Isaac Garcia, D.M.D.

  • Dentist
  • Miami, FL
National Provider Identifier
1942211719
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN14125 Issued in FL
Practice address
9301 SW 56TH St Ste a
Miami, FL 33165-6559
Phone
(305) 595-4616
Fax
(305) 595-4927
NPI assigned
Aug 10, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN14125 FL Primary

Addresses

Primary practice location

9301 SW 56TH St Ste a
Miami, FL 33165-6559

Mailing address

9301 SW 56TH St Ste a
Miami, FL 33165-6559
Phone (305) 595-4616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 10, 2021 through Nov 10, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN14125FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Garcia & Sanchez Garcia DMD PA Dentist Current Accepting new patients

Locations

9301 SW 56th St
Ste A
Miami, FL 33165
Phone (305) 595-4616

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942211719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 SW 56TH ST STE A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331656559",
            "telephone_number": "305-595-4616",
            "fax_number": "305-595-4927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 SW 56TH ST STE A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331656559",
            "telephone_number": "305-595-4616",
            "fax_number": "305-595-4927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "RAUL",
        "middle_name": "ISAAC",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN14125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.