Provider Demographics
NPI:1386198398
Name:GARCIA ANTONGIORGI, ROWINA (PHD)
Entity Type:Individual
Prefix:MS
First Name:ROWINA
Middle Name:
Last Name:GARCIA ANTONGIORGI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1007 AVE MUNOZ RIVERA
Mailing Address - Street 2:CONDOMINIO DARLINGTON SUITE 801
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00925-2717
Mailing Address - Country:US
Mailing Address - Phone:787-403-1736
Mailing Address - Fax:
Practice Address - Street 1:304 CALLE NORZAGARAY
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00901-1210
Practice Address - Country:US
Practice Address - Phone:787-403-1736
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-08
Last Update Date:2016-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5670103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical