Healthcare Provider Details

I. General information

NPI: 1831034826
Provider Name (Legal Business Name): EDUARDO GARCIA III
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 W NEW ORLEANS AVE
COLUMBUS NM
88029-9790
US

IV. Provider business mailing address

1950 BARCELONA RD SW
DEMING NM
88030-8552
US

V. Phone/Fax

Practice location:
  • Phone: 575-531-2165
  • Fax:
Mailing address:
  • Phone: 915-822-6001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN-89255
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: