MEDICARE: MANUEL ARTURO GARCIA VERGNE MD

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	174400000X	Specialist	2670	PR

General Provider Information

NPI Number	:	1265408769
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MANUEL ARTURO GARCIA VERGNE MD

Provider Business Mailing Address
First Line	:	SERRANIA A18
Second Line	:	GARDEN HILLS
City	:	GUAYNABO
State	:	PR
Zip	:	00966-1797
Country	:	US
Telephone Number	:	787-268-8129
Fax Number	:	787-268-7790

Provider Business Practice Location Address
First Line	:	AVE. GENERAL DEL VALLE #1017
Second Line	:	URB. DELICIA
City	:	RIO PIEDRAS
State	:	PR
Zip	:	00924
Country	:	US
Telephone Number	:	787-268-8129
Fax Number	:	787-268-7790

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

Provider Enumeration Date	:	02/24/2006
Last Update Date	:	03/26/2019

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