Healthcare Provider Details

I. General information

NPI: 1801259973
Provider Name (Legal Business Name): ELIZABETH SONIA GARCHAR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ELIZABETH RODRIGUEZ

II. Dates (important events)

Enumeration Date: 04/05/2016
Last Update Date: 06/30/2023
Certification Date: 06/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 CENTRAL AVE SE
ALBUQUERQUE NM
87106-4930
US

IV. Provider business mailing address

3741 RUTLEDGE RD NE
ALBUQUERQUE NM
87109-5566
US

V. Phone/Fax

Practice location:
  • Phone: 505-603-2050
  • Fax:
Mailing address:
  • Phone: 505-798-9300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License NumberMD2020-0901
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD2020-0901
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: