Provider Demographics
NPI:1578549341
Name:GARCIA, OBED RENE (MD)
Entity Type:Individual
Prefix:DR
First Name:OBED
Middle Name:RENE
Last Name:GARCIA
Suffix:
Gender:M
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 69001
Mailing Address - Street 2:PMB 195
Mailing Address - City:HATILLO
Mailing Address - State:PR
Mailing Address - Zip Code:00659
Mailing Address - Country:US
Mailing Address - Phone:787-898-6511
Mailing Address - Fax:787-898-6511
Practice Address - Street 1:CARR. 129 KM. 9
Practice Address - Street 2:BO. CAMPO ALEGRE
Practice Address - City:HATILLO
Practice Address - State:PR
Practice Address - Zip Code:00659
Practice Address - Country:US
Practice Address - Phone:787-898-6511
Practice Address - Fax:787-898-6511
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-22
Last Update Date:2010-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14553208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice