Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 68347 | FL |
NPI | 1023000510 |
---|---|
Provider Name | Dr. Dagoberto Jose Garcia JR. |
First Address | Coral Gables, FL 33146-2918 |
Second Address | Coral Gables, FL 33146-2918 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2005 |
Last Update Date | 27/02/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
378364200 | (05) | FL |
G08783 | (02) |