Basic Information
Provider Information
NPI: 1598810178
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GARCIA
FirstName: ARTHUR
MiddleName: GARY
NamePrefix: DR.
NameSuffix: II
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: MONTE MAYOR
Address2: SUITE 737
City: GUAYNABO
State: PR
PostalCode: 00971
CountryCode: US
TelephoneNumber: 7874044258
FaxNumber: 7877636515
Practice Location
Address1: MONTE MAYOR
Address2: SUITE 737
City: GUAYNABO
State: PR
PostalCode: 00971
CountryCode: US
TelephoneNumber: 7874044258
FaxNumber: 7877636515
Other Information
ProviderEnumerationDate: 01/24/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208D00000X16690PRY Allopathic & Osteopathic PhysiciansGeneral Practice 

No ID Information.


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