Healthcare Provider Details

I. General information

NPI: 1396280939
Provider Name (Legal Business Name): AMARILYS GARCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2017
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

149 CALLE INOCENCIO CASUL
JUNCOS PR
00777-3747
US

IV. Provider business mailing address

208 URB OLYMPIC VILLE CALLE SEUL G 20
LAS PIEDRAS PR
00771
US

V. Phone/Fax

Practice location:
  • Phone: 939-382-4432
  • Fax:
Mailing address:
  • Phone: 939-382-4432
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: