Provider Demographics
NPI:1730876483
Name:DIAZ-GARCIA, MARGARITA CRISTINA
Entity type:Individual
Prefix:
First Name:MARGARITA
Middle Name:CRISTINA
Last Name:DIAZ-GARCIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19626 SW 130TH AVENUE RD
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-4009
Mailing Address - Country:US
Mailing Address - Phone:786-316-8845
Mailing Address - Fax:
Practice Address - Street 1:11700 SW 104TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-3601
Practice Address - Country:US
Practice Address - Phone:786-316-8845
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-21
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS34961183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist