Healthcare Provider Details

I. General information

NPI: 1750211280
Provider Name (Legal Business Name): CARMEN MARIA GARCIA RIVERA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 CALLE TURQUESA
HUMACAO PR
00791-4162
US

IV. Provider business mailing address

PO BOX 68
HUMACAO PR
00792-0068
US

V. Phone/Fax

Practice location:
  • Phone: 787-554-0005
  • Fax:
Mailing address:
  • Phone: 787-554-0005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number25090
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: