Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208D00000X | General Practice Physician | 11505 | PR |
NPI | 1003925181 |
---|---|
Provider Name | Dr. Esther E Garcia |
First Address | Carolina, PR 00982-3610 |
Second Address | Carolina, PR 00985 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 29/08/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0089543 | MEDICARE (01) | PR |
H55596 | (02) |