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NPI Code Detail

MEDICARE: MS. AWILDA GARCIA MD

MEDICARE:  MS. AWILDA  GARCIA  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
1174400000XSpecialist6054PR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
16054OTHERPRLICENCE

General Provider Information

NPI Number : 1376506865
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AWILDA GARCIA MD
Provider Business Mailing Address
First Line : CALLE 2 # N 13
Second Line : URB. SAN JORGE
City : PONCE
State : PR
Zip : 00732
Country : US
Telephone Number : 787-430-5233
Fax Number : 787-841-0077
Provider Business Practice Location Address
First Line : 1034 AVE HOSTOS
Second Line :
City : PONCE
State : PR
Zip : 00716-1115
Country : US
Telephone Number : 787-843-9393
Fax Number : 789-784-1007
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2006
Last Update Date : 12/12/2008

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Directions to “ MS. AWILDA GARCIA MD” Practice Location

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