Doctor Name: | MIGUEL ANGEL GARCIA-BLANCO |
NPI Number: | 1356395743 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | ME0066385 |
Business Practice Address: | 3233 Palm Ave Hialeah, FL - 330125427 |
Business Phone Number: | 3058260660 |
Business Fax Number: | 3058250245 |
Mailing Address: | 7200 Corporate Center Dr, Suite 600 MIAMI |
State: | FL |
Postal Code: | 331261200 |
Phone Number: | 3055002000 |
Fax Number: | |
NPI Enumeration Date: | 05/20/2006 |
NPI Last Update Date: | 03/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME0066385 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |