MEDICARE: CARLOS DANIEL GARCIA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	6637	PR

General Provider Information

NPI Number	:	1023006756
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLOS DANIEL GARCIA M.D.

Provider Business Mailing Address
First Line	:	PO BOX 191338
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00919-1338
Country	:	US
Telephone Number	:	787-342-4709
Fax Number	:	787-999-8421

Provider Business Practice Location Address
First Line	:	HOSPITAL SAN GERARDO CARR 844 KM 0.5
Second Line	:	CUPEY BAJO
City	:	SAN JUAN
State	:	PR
Zip	:	00925
Country	:	US
Telephone Number	:	787-342-4709
Fax Number	:	787-999-8421

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2005
Last Update Date	:	10/24/2011

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