Provider Demographics
NPI:1841429545
Name:GARCIA, MARCOS ARMANDO (MASTERS)
Entity Type:Individual
Prefix:MR
First Name:MARCOS
Middle Name:ARMANDO
Last Name:GARCIA
Suffix:
Gender:M
Credentials:MASTERS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 5 BOX 4952
Mailing Address - Street 2:
Mailing Address - City:LAS PIEDRAS
Mailing Address - State:PR
Mailing Address - Zip Code:00771-9644
Mailing Address - Country:US
Mailing Address - Phone:787-439-1247
Mailing Address - Fax:
Practice Address - Street 1:HC 5 BOX 4952
Practice Address - Street 2:
Practice Address - City:LAS PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00771-9644
Practice Address - Country:US
Practice Address - Phone:787-439-1247
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-02
Last Update Date:2009-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2978103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist