Provider Demographics
NPI:1174686398
Name:GARAU, PRISCILA (MD)
Entity Type:Individual
Prefix:DR
First Name:PRISCILA
Middle Name:
Last Name:GARAU
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:100 PASEO SAN PABLO
Mailing Address - Street 2:CADILLA BUILDING SUITE 203
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961-7019
Mailing Address - Country:US
Mailing Address - Phone:787-787-6767
Mailing Address - Fax:787-787-9619
Practice Address - Street 1:100 PASEO SAN PABLO
Practice Address - Street 2:CADILLA BUILDING SUITE 203
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961-7019
Practice Address - Country:US
Practice Address - Phone:787-787-6767
Practice Address - Fax:787-787-9619
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR110112080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology