Provider Demographics
NPI:1194820431
Name:GARCIA, MILTON E (MD)
Entity Type:Individual
Prefix:DR
First Name:MILTON
Middle Name:E
Last Name:GARCIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:PO BOX 141030
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00614
Mailing Address - Country:US
Mailing Address - Phone:787-879-3828
Mailing Address - Fax:787-878-6791
Practice Address - Street 1:65 CELSO BARBOSA
Practice Address - Street 2:SUITE 107
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-879-3828
Practice Address - Fax:787-878-6791
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2012-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6143207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
D08729Medicare UPIN