Provider Demographics
NPI:1881008613
Name:GARCIA-GIL, MAURILIO (MD)
Entity Type:Individual
Prefix:DR
First Name:MAURILIO
Middle Name:
Last Name:GARCIA-GIL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7909 FREDERICKSBURG RD STE 110
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3400
Mailing Address - Country:US
Mailing Address - Phone:210-614-4544
Mailing Address - Fax:210-679-3724
Practice Address - Street 1:1303 MCCULLOUGH AVE STE 270
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-5604
Practice Address - Country:US
Practice Address - Phone:210-474-7020
Practice Address - Fax:210-679-3733
Is Sole Proprietor?:No
Enumeration Date:2014-06-19
Last Update Date:2020-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35136848208800000X
TXS6842208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX411287201Medicaid
OH0358890Medicaid