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NPI Code Detail

MEDICARE: PORFIRIO GARCIA

MEDICARE:   PORFIRIO  GARCIA
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
1172A00000XDriverB00457NY

Other Identifiers

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

General Provider Information

NPI Number : 1558814202
Entity Type Code : Individual
Provider Name (Legal Business Name) : PORFIRIO GARCIA
Provider Business Mailing Address
First Line : 900 E TREMONT AVE
Second Line :
City : BRONX
State : NY
Zip : 10460-4355
Country : US
Telephone Number : 718-328-8080
Fax Number : 347-498-1751
Provider Business Practice Location Address
First Line : 900 E TREMONT AVE
Second Line :
City : BRONX
State : NY
Zip : 10460-4355
Country : US
Telephone Number : 718-328-8080
Fax Number : 347-498-1751
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2016
Last Update Date : 07/29/2016

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Directions to “ PORFIRIO GARCIA ” Practice Location

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