Provider Demographics
NPI:1033261227
Name:GARCIA, JOSE PEREZ (MD)
Entity type:Individual
Prefix:
First Name:JOSE
Middle Name:PEREZ
Last Name:GARCIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3501 JOHNSON ST
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-5421
Mailing Address - Country:US
Mailing Address - Phone:617-671-9187
Mailing Address - Fax:954-276-0288
Practice Address - Street 1:3501 JOHNSON ST
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-5421
Practice Address - Country:US
Practice Address - Phone:954-265-7750
Practice Address - Fax:954-276-0288
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2025-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD0688885L208G00000X
IN01079211A208G00000X
PAMD068885-L208600000X
MDD681152086S0102X, 2086S0127X
FLME127120204F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204F00000XAllopathic & Osteopathic PhysiciansTransplant Surgery
No208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
No208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
No2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0017663550003Medicaid
MD019860900Medicaid
MD133380ZAL4OtherMEDICARE
MD019860900Medicaid
PA0017663550003Medicaid
MD133380ZAL4OtherMEDICARE
MDF77296Medicare UPIN