Healthcare Provider Details

I. General information

NPI: 1225173305
Provider Name (Legal Business Name): NORA GARCIA LCDA.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: NORIMAR VEGA

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 CALLE GEORGETTI SUITE 1
BARCELONETA PR
00617-2734
US

IV. Provider business mailing address

PO BOX 622 SUITE 1
BARCELONETA PR
00617-2734
US

V. Phone/Fax

Practice location:
  • Phone: 787-846-2630
  • Fax: 787-846-9206
Mailing address:
  • Phone: 787-846-2630
  • Fax: 787-846-9206

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number07-F 0209
License Number StatePR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: