Healthcare Provider Details
I. General information
NPI: 1528639796
Provider Name (Legal Business Name): KARINA NICOLE GARCIA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/08/2021
Last Update Date: 06/20/2025
Certification Date: 06/20/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
CARR #2 KM 11.6
BAYAMON PR
00959
US
IV. Provider business mailing address
COLINAS DEL SOL I
BAYAMON PR
00957-6917
US
V. Phone/Fax
- Phone: 787-474-8282
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 23871 |
| License Number State | PR |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: