Provider Demographics
NPI:1609080498
Name:CDT DR. ARNALDO J GARCIA
Entity Type:Organization
Organization Name:CDT DR. ARNALDO J GARCIA
Other - Org Name:CDT DR. ARNALDO J GARCIA RIVERA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CORAL
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSA
Authorized Official - Suffix:
Authorized Official - Credentials:LIC
Authorized Official - Phone:787-480-4900
Mailing Address - Street 1:PO BOX 21405
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00928-1405
Mailing Address - Country:US
Mailing Address - Phone:787-480-4900
Mailing Address - Fax:
Practice Address - Street 1:CALLE FLOR ANTILLANA RESIDENCIAL LUIS LLORENS TORRES
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907
Practice Address - Country:US
Practice Address - Phone:787-480-4900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR10226CDOtherTRIPLE S TODOS
PR1139OtherPROSAM
PR=========OtherAMERICAN HEALTH
PR30360OtherCRUZ AZUL
PR600294OtherUTI
PR=========Medicaid
PR1001019OtherACCA
PR=========OtherCOSVIMEDCARE
PR40077SOtherPREFERRED MED CHOICE
PR7810OtherFIRST MEDICAL
PR=========OtherMAPHRE HEALTH Y MEDADV
PR=========OtherMCS LIFE
PR400015OtherCOSVI MEDICARE
PR=========OtherGOLDEN CROSS
PR=========OtherCIGNA EXCLUSIVE PREFERRED
PR6604270AGMedicaid
PR9070139OtherHUMANA TODAS
PR=========OtherPAN AMERICAN
PR1001019OtherACCA
PR400015OtherCOSVI MEDICARE
PR600294OtherUTI