Basic Information
| Provider Information | |||||||||
| NPI: | 1245215532 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GARCIA | ||||||||
| FirstName: | INES | ||||||||
| MiddleName: | ELENA | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 68 STREET #BG-4 | ||||||||
| Address2: | HILL MANSIONS | ||||||||
| City: | SAN JUAN | ||||||||
| State: | PR | ||||||||
| PostalCode: | 00926 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7877773225 | ||||||||
| FaxNumber: | 7877585307 | ||||||||
| Practice Location | |||||||||
| Address1: | BG4 CALLE 68 | ||||||||
| Address2: | HILL MANSIONS | ||||||||
| City: | SAN JUAN | ||||||||
| State: | PR | ||||||||
| PostalCode: | 009264681 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7877773225 | ||||||||
| FaxNumber: | 7877585307 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/09/2005 | ||||||||
| LastUpdateDate: | 05/13/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2080N0001X | 10286 | PR | Y | Allopathic & Osteopathic Physicians | Pediatrics | Neonatal-Perinatal Medicine |
No ID Information.