Basic Information
| Provider Information | |||||||||
| NPI: | 1003268715 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GARIB | ||||||||
| FirstName: | ONIX | ||||||||
| MiddleName: | CESAR | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1611 NW 12TH AVE | ||||||||
| Address2: | |||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331361005 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3052437831 | ||||||||
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| Practice Location | |||||||||
| Address1: | UNIVERSITY OF PUERTO RICO MEDICAL SCIENCE CAMPUS | ||||||||
| Address2: | PASEO DR. JOSE CELSO BARBOSA | ||||||||
| City: | SAN JAUN | ||||||||
| State: | PR | ||||||||
| PostalCode: | 00921 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7877540101 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/06/2016 | ||||||||
| LastUpdateDate: | 03/25/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 03/25/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 390200000X | 33051R | PR | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 390200000X | 32746R | PR | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207R00000X | 21349 | PR | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.