Provider Demographics
NPI:1942435383
Name:GARCIA, NESTOR E (PSY D)
Entity Type:Individual
Prefix:DR
First Name:NESTOR
Middle Name:E
Last Name:GARCIA
Suffix:
Gender:M
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3151 CALLE MONTE COQUI
Mailing Address - Street 2:CALLEJON MORALES BZN 2
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-6315
Mailing Address - Country:US
Mailing Address - Phone:787-226-2848
Mailing Address - Fax:
Practice Address - Street 1:OFICINA MEDICO FAMILIAR CALLE A CASA #7
Practice Address - Street 2:URB. VILLA MARIA #7 CALLE A
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674-5940
Practice Address - Country:US
Practice Address - Phone:787-226-2848
Practice Address - Fax:787-854-6477
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-28
Last Update Date:2009-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3229103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical