Healthcare Provider Details

I. General information

NPI: 1023006756
Provider Name (Legal Business Name): CARLOS DANIEL GARCIA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2005
Last Update Date: 10/24/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HOSPITAL SAN GERARDO CARR 844 KM 0.5 CUPEY BAJO
SAN JUAN PR
00925
US

IV. Provider business mailing address

PO BOX 191338
SAN JUAN PR
00919-1338
US

V. Phone/Fax

Practice location:
  • Phone: 787-342-4709
  • Fax: 787-999-8421
Mailing address:
  • Phone: 787-342-4709
  • Fax: 787-999-8421

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number6637
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: