=====================================================
General NPI Number Information
=====================================================
NPI Number | 1649246406
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | HAYDEE GARCIA M.D
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/23/2006
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | D84 CALLE 3 PASEO LAS VISTAS
-----------------------------------------------------
City | SAN JUAN
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00926-5935
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-756-4020
-----------------------------------------------------
Fax | 787-777-3227
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | D84 CALLE 3 PASEO LAS VISTAS
-----------------------------------------------------
City | SAN JUAN
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00926-5935
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-756-4020
-----------------------------------------------------
Fax | 787-777-3227
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 174400000X
-----------------------------------------------------
Taxonomy Name | Specialist
-----------------------------------------------------
License Number | 5832
-----------------------------------------------------
License Number State | PR
-----------------------------------------------------