MEDICARE: ALFREDO GARCIA MD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417247206
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALFREDO GARCIA MD PA

Provider Business Mailing Address
First Line	:	1722 S CAROLINA ST STE A
Second Line	:
City	:	HARLINGEN
State	:	TX
Zip	:	78550-8306
Country	:	US
Telephone Number	:	956-365-4522
Fax Number	:	956-365-4897

Provider Business Practice Location Address
First Line	:	1722 S CAROLINA ST STE A
Second Line	:
City	:	HARLINGEN
State	:	TX
Zip	:	78550-8306
Country	:	US
Telephone Number	:	956-365-4522
Fax Number	:	956-365-4897

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ALFREDO GARCIA
Credential	:	MD
Telephone Number	:	956-365-4522

Provider Enumeration Date	:	04/13/2011
Last Update Date	:	04/13/2011

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