Provider Demographics
NPI:1558725184
Name:GARCIA-ORTIZ, ALGECIRA (LMT)
Entity Type:Individual
Prefix:
First Name:ALGECIRA
Middle Name:
Last Name:GARCIA-ORTIZ
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 JUDSON ST
Mailing Address - Street 2:
Mailing Address - City:DORCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:02125-2920
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12 JUDSON ST
Practice Address - Street 2:
Practice Address - City:DORCHESTER
Practice Address - State:MASSACHUSETTS
Practice Address - Zip Code:02125
Practice Address - Country:UM
Practice Address - Phone:857-237-8757
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-10
Last Update Date:2016-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7985225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist