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NPI Code Detail

MEDICARE: MARIBEL GARCIA M.D.

MEDICARE: MARIBEL GARCIA M.D.
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
1174400000XSpecialist011147PR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
19090183OTHERPRHUMANA HEALTH CARE PROVID
289867OTHERPRTRIPLE S INC.
36605457454OTHERPRMEDICAL CARD SYSTEM

General Provider Information

NPI Number : 1578548996
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIBEL GARCIA M.D.
Provider Business Mailing Address
First Line : 3103 AVE ISLA VERDE
Second Line : CONDESA DEL MAR APT 304
City : CAROLINA
State : PR
Zip : 00979-4900
Country : US
Telephone Number : 787-728-1575
Fax Number : 787-726-0402
Provider Business Practice Location Address
First Line : 252 CALLE SAN JORGE
Second Line : SUITE 504
City : SANTURCE
State : PR
Zip : 00912-3310
Country : US
Telephone Number : 787-728-1575
Fax Number : 787-726-0402
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2005
Last Update Date : 10/19/2012

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