MEDICARE: YARITZA GARCES

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	171M00000X	Case Manager/Care Coordinator

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326402447
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YARITZA GARCES

Provider Business Mailing Address
First Line	:	584 UNION AVENUE
Second Line	:	APT 1D
City	:	BRONX
State	:	NY
Zip	:	10455-3337
Country	:	US
Telephone Number	:	646-496-2529
Fax Number	:

Provider Business Practice Location Address
First Line	:	584 UNION AVENUE
Second Line	:	APT 1D
City	:	BRONX
State	:	NY
Zip	:	10455-3337
Country	:	US
Telephone Number	:	646-496-2529
Fax Number	:

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

Provider Enumeration Date	:	04/06/2016
Last Update Date	:	04/06/2016

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