Healthcare Provider Details

I. General information

NPI: 1235750696
Provider Name (Legal Business Name): MARIANA SILVA GARCIA MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2020
Last Update Date: 02/03/2022
Certification Date: 02/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 CALLE WASHINGTON STE 308
SAN JUAN PR
00907-1509
US

IV. Provider business mailing address

PO BOX 16273
SAN JUAN PR
00908-6273
US

V. Phone/Fax

Practice location:
  • Phone: 787-404-2346
  • Fax: 787-721-1360
Mailing address:
  • Phone: 787-404-2346
  • Fax: 787-721-1360

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KARLA MEJIA
Title or Position: SECRETARIA
Credential:
Phone: 787-614-9613