Provider Demographics
NPI:1851569370
Name:GARCIA, EDDIE ABLE II
Entity Type:Individual
Prefix:
First Name:EDDIE
Middle Name:ABLE
Last Name:GARCIA
Suffix:II
Gender:M
Credentials:
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 1000
Mailing Address - Street 2:
Mailing Address - City:MESILLA PARK
Mailing Address - State:NM
Mailing Address - Zip Code:88047-1000
Mailing Address - Country:US
Mailing Address - Phone:505-650-4367
Mailing Address - Fax:
Practice Address - Street 1:3550 S. LINDEN
Practice Address - Street 2:
Practice Address - City:MESILLA PARK
Practice Address - State:NM
Practice Address - Zip Code:88005
Practice Address - Country:US
Practice Address - Phone:505-650-4367
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-19
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM03128269005251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health