MEDICARE: CARLOS A 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
1	207U00000X	Nuclear Medicine Physician	MD034310	DC

General Provider Information

NPI Number	:	1437149713
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLOS A GARCIA MD

Provider Business Mailing Address
First Line	:	1201 SEVEN LOCKS RD
Second Line	:	SUITE 200
City	:	ROCKVILLE
State	:	MD
Zip	:	20854-2931
Country	:	US
Telephone Number	:	301-652-5771
Fax Number	:	301-652-6332

Provider Business Practice Location Address
First Line	:	110 IRVING ST NW
Second Line	:	BB-43
City	:	WASHINGTON
State	:	DC
Zip	:	20010-3017
Country	:	US
Telephone Number	:	202-877-6066
Fax Number	:	202-877-6601

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

Provider Enumeration Date	:	10/26/2005
Last Update Date	:	10/15/2008

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