Basic Information
Provider Information
NPI: 1326231473
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GARCIA-CARDONA
FirstName: BEATRIZ
MiddleName: E
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: GARCIA CARDONA
OtherFirstName: BEATRIZ
OtherMiddleName:  
OtherNamePrefix: DR.
OtherNameSuffix:  
OtherCredential: M.D.
OtherLastNameType: 2
Mailing Information
Address1: 4715 WHITESBURG DR SE
Address2:  
City: HUNTSVILLE
State: AL
PostalCode: 358021632
CountryCode: US
TelephoneNumber: 2568815151
FaxNumber: 2568803939
Practice Location
Address1: 4715 WHITESBURG DR SE
Address2:  
City: HUNTSVILLE
State: AL
PostalCode: 35802
CountryCode: US
TelephoneNumber: 2568815151
FaxNumber: 2568803939
Other Information
ProviderEnumerationDate: 08/22/2007
LastUpdateDate: 08/22/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000X28415-RPRN Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 
207X00000X11758 IPRN Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 
207X00000X31697ALN Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 
207XX0004XMD.31697ALY Allopathic & Osteopathic PhysiciansOrthopaedic SurgeryFoot and Ankle Surgery

No ID Information.


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