Provider Demographics
NPI:1366682098
Name:GARCIA, FABIANA (BSN)
Entity Type:Individual
Prefix:MS
First Name:FABIANA
Middle Name:
Last Name:GARCIA
Suffix:
Gender:F
Credentials:BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:196 CALLE CUBA
Mailing Address - Street 2:BDA. ISRAEL
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00917-1725
Mailing Address - Country:US
Mailing Address - Phone:787-754-1895
Mailing Address - Fax:
Practice Address - Street 1:196 CALLE CUBA
Practice Address - Street 2:BDA. ISRAEL
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00917-1725
Practice Address - Country:US
Practice Address - Phone:787-754-1895
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-20
Last Update Date:2009-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR30363163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse