Provider Demographics
NPI:1295197184
Name:GARCIA, SHEILA
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:GARCIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 CALLE B
Mailing Address - Street 2:URB. VILLA COOPERATIVA
Mailing Address - City:OROCOVIS
Mailing Address - State:PR
Mailing Address - Zip Code:00720-9637
Mailing Address - Country:US
Mailing Address - Phone:787-359-5900
Mailing Address - Fax:
Practice Address - Street 1:1502 CALLE BORI
Practice Address - Street 2:URB. ANTONSANTI
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00927-6116
Practice Address - Country:US
Practice Address - Phone:787-789-6712
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-22
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR37558163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse