Provider Demographics
NPI:1710189758
Name:GARCIA, SHEILA GARCIA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:GARCIA
Last Name:GARCIA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB ENCANTADA MONTECILLO COURT 5008
Mailing Address - Street 2:
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976-6098
Mailing Address - Country:US
Mailing Address - Phone:787-760-3428
Mailing Address - Fax:
Practice Address - Street 1:NEW SAN JUAN COMERCIAL #6471
Practice Address - Street 2:LOCAL 4 OHC 3 ISLA VERDA
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00979
Practice Address - Country:US
Practice Address - Phone:787-207-4070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1481103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical