Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208D00000X | General Practice Physician | 18819 | PR |
Y | 208D00000X | General Practice Physician | ACN674 | FL |
NPI | 1043638281 |
---|---|
Provider Name | Dr. Geisha Olga Garcia-Saez |
First Address | Miami, FL 33193 |
Second Address | Miami, FL 33135-2903 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2014 |
Last Update Date | 12/10/2021 |