Healthcare Provider Details

I. General information

NPI: 1407225576
Provider Name (Legal Business Name): MURIEL BIBELY GARCIA ROSARIO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/18/2015
Last Update Date: 08/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 HAVEN AVENUE
NEW YORK NY
10032
US

IV. Provider business mailing address

120 AVE LA SIERRA APTO E5202 CONDOMINIO LA SIERRA DEL MONTE
SAN JUAN PR
00926
US

V. Phone/Fax

Practice location:
  • Phone: 862-316-4740
  • Fax:
Mailing address:
  • Phone: 787-404-1613
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code282NC2000X
TaxonomyChildren's Hospital
License Number32,169-R
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number294956
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: