Provider Demographics
NPI:1568668671
Name:GARCIA-JUARBE, IXSA T (DO, DPM)
Entity type:Individual
Prefix:DR
First Name:IXSA
Middle Name:T
Last Name:GARCIA-JUARBE
Suffix:
Gender:F
Credentials:DO, DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 E 3RD ST STE 102C
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-4917
Mailing Address - Country:US
Mailing Address - Phone:786-441-5330
Mailing Address - Fax:
Practice Address - Street 1:60 E 3RD ST STE 102C
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010-4917
Practice Address - Country:US
Practice Address - Phone:786-441-5330
Practice Address - Fax:786-209-2081
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-25
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS12430207Q00000X
FLPO3300213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL65954OtherBCBS
FL340653900Medicaid
FL65954OtherBCBS