Provider Demographics
NPI:1336100668
Name:GARCIA, YAZMIN LIZZETTE (MD)
Entity Type:Individual
Prefix:MISS
First Name:YAZMIN
Middle Name:LIZZETTE
Last Name:GARCIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 BLVD. DEL RIO
Mailing Address - Street 2:APT. 1801
Mailing Address - City:HUMACAO
Mailing Address - State:PR
Mailing Address - Zip Code:00791-4501
Mailing Address - Country:US
Mailing Address - Phone:787-580-5916
Mailing Address - Fax:
Practice Address - Street 1:252 CALLE SAN JORGE
Practice Address - Street 2:SUITE 406
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00912-3310
Practice Address - Country:US
Practice Address - Phone:787-726-0210
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-28
Last Update Date:2024-03-05
Deactivation Date:2024-01-17
Deactivation Code:
Reactivation Date:2024-03-05
Provider Licenses
StateLicense IDTaxonomies
PR122162080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine