Provider Demographics
NPI:1306229299
Name:GARCIA SAIS, CARMEN NATALIA
Entity Type:Individual
Prefix:
First Name:CARMEN
Middle Name:NATALIA
Last Name:GARCIA SAIS
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:W8-12 CALLE TIRSO DE MOLINA
Mailing Address - Street 2:RIBERAS DEL SENORIAL
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-6808
Mailing Address - Country:US
Mailing Address - Phone:787-529-8327
Mailing Address - Fax:
Practice Address - Street 1:W8-12 CALLE TIRSO DE MOLINA
Practice Address - Street 2:RIBERAS DEL SENORIAL
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-6808
Practice Address - Country:US
Practice Address - Phone:787-529-8327
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-09
Last Update Date:2015-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR676133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered