Provider Demographics
NPI:1487661872
Name:GARCIA, ARACELIA (MD)
Entity Type:Individual
Prefix:MRS
First Name:ARACELIA
Middle Name:
Last Name: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:PO BOX 30074
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00929
Mailing Address - Country:US
Mailing Address - Phone:787-257-1908
Mailing Address - Fax:
Practice Address - Street 1:PARQUE IND ESCORIAL 65TH INF AVE BO SAN ANTON
Practice Address - Street 2:STATE INSURANCE FUND CORPORATION CFSE
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00987
Practice Address - Country:US
Practice Address - Phone:787-757-6850
Practice Address - Fax:787-776-2252
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6270208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR28467OtherTRIPLES DE PR
PR28467OtherTRIPLES DE PR
PRC77619Medicare ID - Type Unspecified