Healthcare Provider Details

I. General information

NPI: 1073503835
Provider Name (Legal Business Name): JOSE ORLANDO GARCIA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/24/2005
Last Update Date: 12/10/2024
Certification Date: 12/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URB. VILLA ROSALES A-1 CALLE DR.TROYER
AIBONITO PR
00705-3309
US

IV. Provider business mailing address

PO BOX 1379
AIBONITO PR
00705-1379
US

V. Phone/Fax

Practice location:
  • Phone: 787-735-5678
  • Fax: 787-735-5678
Mailing address:
  • Phone: 787-735-5678
  • Fax: 787-735-5678

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number13055
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: