Healthcare Provider Details

I. General information

NPI: 1194688671
Provider Name (Legal Business Name): MARALIZ GARCIA SR. MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/03/2025
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 CALLE ROBLES
UTUADO PR
00641-2549
US

IV. Provider business mailing address

PO BOX 612
UTUADO PR
00641-0612
US

V. Phone/Fax

Practice location:
  • Phone: 787-313-2563
  • Fax:
Mailing address:
  • Phone: 787-313-2563
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number14287
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: