Doctor Name: | JUAN R GARCIA |
NPI Number: | 1023237625 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 15613 |
Business Practice Address: | 9 Calle San Benito Las Marias, PR - 006702102 |
Business Phone Number: | 7875902347 |
Business Fax Number: | |
Mailing Address: | Farallon 3312 Alturas De Mayaguez, MAYAGUEZ |
State: | PR |
Postal Code: | 00682 |
Phone Number: | 7875902347 |
Fax Number: | |
NPI Enumeration Date: | 04/24/2007 |
NPI Last Update Date: | 01/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 15613 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |