Healthcare Provider Details

I. General information

NPI: 1619624046
Provider Name (Legal Business Name): ADRIANA NICOLE GARCIA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2022
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CENTRO MEDICO DE PUERTO RICO BARRIO MONACILLOS
SAN JUAN PR
00935-0001
US

IV. Provider business mailing address

PO BOX 3756
AGUADILLA PR
00605-3756
US

V. Phone/Fax

Practice location:
  • Phone: 787-758-2525
  • Fax:
Mailing address:
  • Phone: 787-239-2227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number24847
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: