Provider Demographics
NPI:1598796146
Name:GARCIA, HERMES R (MD, MPH)
Entity Type:Individual
Prefix:
First Name:HERMES
Middle Name:R
Last Name:GARCIA
Suffix:
Gender:M
Credentials:MD, MPH
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 457
Mailing Address - Street 2:
Mailing Address - City:GURABO
Mailing Address - State:PR
Mailing Address - Zip Code:00778-0457
Mailing Address - Country:US
Mailing Address - Phone:787-737-4114
Mailing Address - Fax:
Practice Address - Street 1:#2 ANGEL C. MORALES
Practice Address - Street 2:SUITE #3
Practice Address - City:GURABO
Practice Address - State:PR
Practice Address - Zip Code:00778-0457
Practice Address - Country:US
Practice Address - Phone:787-737-4114
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7388208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR2-8917GAMedicare ID - Type Unspecified
PRD-08484Medicare UPIN