Provider Demographics
NPI:1396368361
Name:GARCIA, DANIEL A (SMDR)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:A
Last Name:GARCIA
Suffix:
Gender:M
Credentials:SMDR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 QUEBEC ST # 147
Mailing Address - Street 2:
Mailing Address - City:DEVENS
Mailing Address - State:MA
Mailing Address - Zip Code:01434-4424
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2000 OPELOUSAS AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70114-1500
Practice Address - Country:US
Practice Address - Phone:504-697-7573
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-25
Last Update Date:2022-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246YR1600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Health InformationRegistered Record Administrator
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic
No171000000XOther Service ProvidersMilitary Health Care Provider