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Individual

RAFAEL ISIDRO GARCIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7100 W 20TH AVE STE 608, HIALEAH, FL 33016
(305) 557-4016
(305) 828-0670
Mailing address
15280 NW 79TH CT STE 200, MIAMI LAKES, FL 33016-5873
(305) 558-3724
(786) 907-4485

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
L4948
TX
207Y00000X
Otolaryngology Physician
Primary
ME135257
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
152188201
TX
Enumeration date
06/09/2006
Last updated
09/21/2022
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