Healthcare Provider Details

I. General information

NPI: 1487661872
Provider Name (Legal Business Name): ARACELIA GARCIA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PARQUE IND ESCORIAL 65TH INF AVE BO SAN ANTON STATE INSURANCE FUND CORPORATION CFSE
CAROLINA PR
00987
US

IV. Provider business mailing address

PO BOX 30074
SAN JUAN PR
00929
US

V. Phone/Fax

Practice location:
  • Phone: 787-757-6850
  • Fax: 787-776-2252
Mailing address:
  • Phone: 787-257-1908
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number6270
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: