Provider Demographics
NPI:1225171200
Name:GARCIA, ROSA M (DDS)
Entity Type:Individual
Prefix:MRS
First Name:ROSA
Middle Name:M
Last Name:GARCIA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CARR. 102 CENTRO PROF BORINQUEN
Mailing Address - Street 2:OFIC C-4
Mailing Address - City:CABO ROJO
Mailing Address - State:PR
Mailing Address - Zip Code:00623-0000
Mailing Address - Country:US
Mailing Address - Phone:787-851-5620
Mailing Address - Fax:787-851-2365
Practice Address - Street 1:CENTRO PROFECIONAL BORINQUEN
Practice Address - Street 2:OFICINA C-4
Practice Address - City:CABO ROJO
Practice Address - State:PR
Practice Address - Zip Code:00623
Practice Address - Country:US
Practice Address - Phone:787-851-5620
Practice Address - Fax:787-851-2365
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR19331223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice