Healthcare Provider Details

I. General information

NPI: 1750207478
Provider Name (Legal Business Name): MR. HECTOR ENRIQUE GARCIA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2151 W 28TH ST
YUMA AZ
85364-1219
US

IV. Provider business mailing address

11656 E 33RD ST
YUMA AZ
85367-5400
US

V. Phone/Fax

Practice location:
  • Phone: 928-750-0623
  • Fax:
Mailing address:
  • Phone: 928-750-0623
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: