Provider Demographics
NPI:1386839587
Name:GARCIA ALTIERI, MAURO A (MD)
Entity Type:Individual
Prefix:DR
First Name:MAURO
Middle Name:A
Last Name:GARCIA ALTIERI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:MAURO
Other - Middle Name:
Other - Last Name:GARCIA ALTIERI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:COND. NEW CENTER PLAZA #210
Mailing Address - Street 2:ALLE JOSE OLIVER APT 1610
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918
Mailing Address - Country:US
Mailing Address - Phone:787-636-8372
Mailing Address - Fax:
Practice Address - Street 1:COND. NEW CENTER PLAZA #210
Practice Address - Street 2:ALLE JOSE OLIVER APT 1610
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918
Practice Address - Country:US
Practice Address - Phone:787-636-8372
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-11
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR175562084P0800X, 2084P0015X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0015XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychosomatic Medicine