Healthcare Provider Details

I. General information

NPI: 1679185987
Provider Name (Legal Business Name): REBECCA Z. GARCIA CPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2020
Last Update Date: 08/18/2020
Certification Date: 08/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

REBECCA Z. GARCIA URB ALT DE SAN JOSE CALLE 18 MM- 8
SABANA GRANDE PR
00637
US

IV. Provider business mailing address

REBECCA Z. GARCIA URB ALT DE SAN JOSE CALLE 18 MM- 8
SABANA GRANDE PR
00637
US

V. Phone/Fax

Practice location:
  • Phone: 787-531-2045
  • Fax:
Mailing address:
  • Phone: 787-531-2045
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number20060013
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: