RAUDEL GARCIA M.D.
NPI 1629362520
Family Medicine in North Miami, FL

Active since June 08, 2011PECOS EnrolledAccepts Medicare Assignment
1190 NE 125TH ST, NORTH MIAMI, FL 33161(305) 891-7500 Get Directions Write a Review

NPPES record last updated: April 16, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 16, 2021, Aug 16, 2019, Jan 25, 2019 and 2 more (5 updates tracked since 2016).

About Raudel Garcia M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAUDEL GARCIA M.D. (NPI 1629362520) is an individual family medicine provider in North Miami, Florida, licensed in Florida (ME131470) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1629362520
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRAUDEL GARCIACredential: M.D.
Location Address1190 NE 125TH STNorth Miami, FL 33161-5020
Mailing Address1395 Nw 167th StMiami Gardens, FL 33169-5710 · (305) 891-7500
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateJune 8, 2011
Last NPPES UpdateApril 16, 20215 updates tracked since enumeration
NPPES CertifiedApril 16, 2021
NPI 1629362520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in FL · ME131470 Licensed in NY · 284759 Licensed in NJ · 25MA09503700
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPhlebologyTaxonomy 202K00000X · License ME131470 (FL)
1190 NE 125TH ST, North Miami, FL 33161

Other Identifiers 2

Medicaid101972300FL
OtherME131470FL · Medical License

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Raudel Garcia M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214157098
PECOS Enrollment IDI20180321001640
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33161 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1190 NE 125TH ST
NORTH MIAMI, FL 33161
Non-Pharmacy Dispensing Site
1190 NE 125TH ST
NORTH MIAMI, FL 33161
Family Medicine
1190 NE 125TH ST
NORTH MIAMI, FL 33161
Podiatrist (Foot & Ankle Surgery)
1190 NE 125TH ST
NORTH MIAMI, FL 33161
Internal Medicine (Geriatric Medicine)
1190 NE 125TH ST
NORTH MIAMI, FL 33161
Nurse Practitioner (Adult Health)
1190 NE 125TH ST
NORTH MIAMI, FL 33161
Internal Medicine
1190 NE 125TH ST
NORTH MIAMI, FL 33161
Nurse Practitioner (Family)
1190 NE 125TH ST
NORTH MIAMI, FL 33161

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raudel Garcia's NPI number?

The NPI number for Raudel Garcia is 1629362520. It was assigned to this individual provider in the NPPES registry on June 8, 2011.

Where is Raudel Garcia located?

Raudel Garcia practices at 1190 NE 125th St, North Miami, FL 33161. The listed phone number is (305) 891-7500.

What is Raudel Garcia's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Raudel Garcia enrolled in Medicare?

Yes. Raudel Garcia is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Raudel Garcia accept?

Health plans from Molina Healthcare and Oscar Health Maintenance Organization of Florida list Raudel Garcia as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Raudel Garcia was last updated on April 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.