Provider Demographics
NPI:1851287734
Name:GARCIA, JUANITA R
Entity type:Individual
Prefix:MS
First Name:JUANITA
Middle Name:R
Last Name:GARCIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4210 RIVERWALK PKWY STE 400
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92505-3313
Mailing Address - Country:US
Mailing Address - Phone:951-358-7217
Mailing Address - Fax:951-358-7210
Practice Address - Street 1:4210 RIVERWALK PKWY STE 400
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92505-3313
Practice Address - Country:US
Practice Address - Phone:951-358-7217
Practice Address - Fax:951-358-7210
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker