Provider Demographics
NPI:1952504300
Name:GARCIA ORTEGA, ENID S (MD, DABA)
Entity Type:Individual
Prefix:DR
First Name:ENID
Middle Name:S
Last Name:GARCIA ORTEGA
Suffix:
Gender:F
Credentials:MD, DABA
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:TORRE MEDICA DR. PEDRO BLANCO LUGO
Mailing Address - Street 2:SUITE 205
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674
Mailing Address - Country:US
Mailing Address - Phone:787-884-8337
Mailing Address - Fax:787-854-3287
Practice Address - Street 1:TORRE MEDICA DR. PEDRO BLANCO LUGO
Practice Address - Street 2:SUITE 205
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674
Practice Address - Country:US
Practice Address - Phone:787-884-8337
Practice Address - Fax:787-854-3287
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-05
Last Update Date:2016-10-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR14757207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology