Individual
IDELISA LORENZO GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12582 US HIGHWAY 19, HUDSON, FL 34667-1952
(727) 516-8806
(727) 436-3883
Mailing address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168
(305) 500-2000
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
23256
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23256
PUERTO RICO MEDICAL LICENCE
PR
Enumeration date
08/03/2020
Last updated
03/25/2026
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