Provider Demographics
NPI:1164410676
Name:GARCIA FERRERAS, JORGE E (DPM)
Entity Type:Individual
Prefix:DR
First Name:JORGE
Middle Name:E
Last Name:GARCIA FERRERAS
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:A7 CALLE 2
Mailing Address - Street 2:MANSIONES GARDEN HILLS
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966-2717
Mailing Address - Country:US
Mailing Address - Phone:787-473-3880
Mailing Address - Fax:787-789-3790
Practice Address - Street 1:9410 AVE LOS ROMEROS
Practice Address - Street 2:MONTEHIEDRA TOWN CENTER SUITE 204
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-7007
Practice Address - Country:US
Practice Address - Phone:787-473-3880
Practice Address - Fax:787-789-3790
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-10
Last Update Date:2011-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR100213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0061997Medicare PIN
PRU8993Medicare UPIN