Provider Demographics
NPI:1487661088
Name:ZENON GARCIA, LESBIA (MD)
Entity Type:Individual
Prefix:
First Name:LESBIA
Middle Name:
Last Name:ZENON GARCIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB LOS MAESTROS CALLE A NO 7
Mailing Address - Street 2:
Mailing Address - City:HUMACAO
Mailing Address - State:PR
Mailing Address - Zip Code:00791
Mailing Address - Country:US
Mailing Address - Phone:787-850-6189
Mailing Address - Fax:787-852-8248
Practice Address - Street 1:CALLE MAUNEZ 58
Practice Address - Street 2:
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00791
Practice Address - Country:US
Practice Address - Phone:787-852-8248
Practice Address - Fax:787-852-8248
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2010-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR010830207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR8448OtherIMC
PR080086OtherCRUZ AZUL
PR87933OtherSSS
PR0087815Medicare ID - Type Unspecified
PR87933OtherSSS