MEDICARE: DR. MANUEL CELSO GARCIA-ARIZ 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	207X00000X	Orthopaedic Surgery Physician	4843	PR
2	207XP3100X	Pediatric Orthopaedic Surgery Physician	4843	PR

General Provider Information

NPI Number	:	1790775831
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MANUEL CELSO GARCIA-ARIZ MD

Provider Business Mailing Address
First Line	:	ZEUS C-6 MONTE OLIMPO
Second Line	:
City	:	GUAYNABO
State	:	PR
Zip	:	00969
Country	:	US
Telephone Number	:	787-790-3622
Fax Number	:	787-751-4831

Provider Business Practice Location Address
First Line	:	ORTOPEDIA RCM EDIF. PRINCIPAL RCM OFIC 965
Second Line	:	CENTRO MEDICO DE PUERTO RICO
City	:	RIO PIEDRAS
State	:	PR
Zip	:	00935
Country	:	US
Telephone Number	:	787-764-5095
Fax Number	:	787-620-0714

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

Provider Enumeration Date	:	10/27/2005
Last Update Date	:	11/03/2010

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