Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ivan Garcia, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1164109112

Ivan Garcia, PHYSICIANASSISTANT is a Physician Assistant in Miami, Florida. Practices as a sole proprietor. Licensed in Puerto Rico.

Licensed in
PR
In the registry since
2023
Specialties on file
3
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Practice location Address checks out

8500 SW 149th Ave Apt 1203
Miami, FL 33193-1444
Phone: (787) 601-7887
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 001423 (PR)
Physician Assistant Taxonomy 363A00000X · Licence 001423-PA (PR)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 001423-PA

Record details

NPI number1164109112
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorYes
NPI enumeratedJune 30, 2023
Last updated in NPPESJune 30, 2023
Certification dateJune 30, 2023
Mailing address8500 Sw 149th Ave Apt 1203, Miami, FL 33193-1444

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