Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | PO 3370 | FL |
NPI | 1093038150 |
---|---|
Provider Name | Sandra M Garcia-Ortiz |
First Address | Miami, FL 33186-7984 |
Second Address | Miami, FL 33186-7984 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/03/2010 |
Last Update Date | 03/03/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
PO 3370 | (02) | FL |