Healthcare Provider Details
I. General information
NPI: 1558277053
Provider Name (Legal Business Name): GARCIA'S WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/24/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2233 W 18TH ST
YUMA AZ
85364-5138
US
IV. Provider business mailing address
2233 W 18TH ST
YUMA AZ
85364-5138
US
V. Phone/Fax
- Phone: 928-257-7442
- Fax:
- Phone: 928-257-7442
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 175T00000X |
| Taxonomy | Peer Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ROBERTO
CARLOS
GARCIA
Title or Position: CO-FOUNDER
Credential: B.S, MED HR
Phone: 928-257-7442