Provider Demographics
NPI:1205038437
Name:GARCIA, ALEXIS JAVIER (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXIS
Middle Name:JAVIER
Last Name:GARCIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1829 CALLE ALCAZAR
Mailing Address - Street 2:URB. ALHAMBRA
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00716-3831
Mailing Address - Country:US
Mailing Address - Phone:787-604-9396
Mailing Address - Fax:
Practice Address - Street 1:1829 CALLE ALCAZAR
Practice Address - Street 2:URB. ALHAMBRA
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716-3831
Practice Address - Country:US
Practice Address - Phone:787-604-9396
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-01
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12974208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR12974OtherPHYSICIAN