Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 15389 | PR |
NPI | 1003091927 |
---|---|
Provider Name | Miss Windy Haydelian Garcia |
First Address | Las Piedras, PR 00771-9644 |
Second Address | Las Piedras, PR 00771-9644 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2008 |
Last Update Date | 09/01/2008 |