MEDICARE: DR. HAYDEE GARCIA M.D

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	5832	PR

General Provider Information

NPI Number	:	1649246406
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HAYDEE GARCIA M.D

Provider Business Mailing Address
First Line	:	D84 CALLE 3
Second Line	:	PASEO LAS VISTAS
City	:	SAN JUAN
State	:	PR
Zip	:	00926-5935
Country	:	US
Telephone Number	:	787-756-4020
Fax Number	:	787-777-3227

Provider Business Practice Location Address
First Line	:	D84 CALLE 3
Second Line	:	PASEO LAS VISTAS
City	:	SAN JUAN
State	:	PR
Zip	:	00926-5935
Country	:	US
Telephone Number	:	787-756-4020
Fax Number	:	787-777-3227

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

Provider Enumeration Date	:	02/23/2006
Last Update Date	:	07/08/2007

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