Provider Demographics
NPI:1407996283
Name:CHAAR GARCIA, NITZA MAYRA (DOCTORATE OD)
Entity Type:Individual
Prefix:
First Name:NITZA
Middle Name:MAYRA
Last Name:CHAAR GARCIA
Suffix:
Gender:F
Credentials:DOCTORATE OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 143154
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00614-3154
Mailing Address - Country:US
Mailing Address - Phone:787-878-2460
Mailing Address - Fax:787-878-2460
Practice Address - Street 1:CALLE 2 KM 63.8
Practice Address - Street 2:CANDELARIA SABANA HOYOS
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-878-2460
Practice Address - Fax:787-878-2460
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2016-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR#425152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist