Provider Demographics
NPI:1306862651
Name:GARRIDO, JOSE I SR (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:I
Last Name:GARRIDO
Suffix:SR
Gender:M
Credentials:MD
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Mailing Address - Street 1:EDIFICIO PROFESIONAL SUITE 303
Mailing Address - Street 2:HOSPITAL GENERAL MENONITA
Mailing Address - City:AIBONITO
Mailing Address - State:PR
Mailing Address - Zip Code:00705
Mailing Address - Country:US
Mailing Address - Phone:787-600-7747
Mailing Address - Fax:787-231-1276
Practice Address - Street 1:EDIFICIO PROFESIONAL SUITE 303
Practice Address - Street 2:HOSPITAL GENERAL MENONITA
Practice Address - City:AIBONITO
Practice Address - State:PR
Practice Address - Zip Code:00705
Practice Address - Country:US
Practice Address - Phone:787-600-7747
Practice Address - Fax:786-231-1256
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2019-08-30
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Provider Licenses
StateLicense IDTaxonomies
PR118752084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0088632Medicare ID - Type Unspecified
PRG41285Medicare UPIN