Provider Demographics
NPI:1104253574
Name:GARCIA, ALEYDA IVETTE (RN, ADN)
Entity type:Individual
Prefix:MRS
First Name:ALEYDA
Middle Name:IVETTE
Last Name:GARCIA
Suffix:
Gender:F
Credentials:RN, ADN
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 4319
Mailing Address - Street 2:
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00605-4319
Mailing Address - Country:US
Mailing Address - Phone:787-819-3829
Mailing Address - Fax:787-819-3829
Practice Address - Street 1:CARR 107 # KM1.1
Practice Address - Street 2:
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603-5970
Practice Address - Country:US
Practice Address - Phone:787-819-3829
Practice Address - Fax:787-819-3829
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-01
Last Update Date:2014-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR03418163W00000X
261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No163W00000XNursing Service ProvidersRegistered Nurse