Healthcare Provider Details

I. General information

NPI: 1861306375
Provider Name (Legal Business Name): ANA KARENTH GARCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 09/30/2026
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

Practice location:
  • Phone: 928-259-4541
  • Fax:
Mailing address:
  • Phone: 928-259-4541
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number050533759
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: