Provider Demographics
NPI:1134177587
Name:GARCIA, OLIVIA CARIDAD (MD)
Entity type:Individual
Prefix:DR
First Name:OLIVIA
Middle Name:CARIDAD
Last Name:GARCIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:470 TAYLOR RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-3563
Mailing Address - Country:US
Mailing Address - Phone:334-293-5033
Mailing Address - Fax:334-293-5024
Practice Address - Street 1:470 TAYLOR RD
Practice Address - Street 2:SUITE 210
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-3563
Practice Address - Country:US
Practice Address - Phone:334-293-5033
Practice Address - Fax:334-293-5024
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2015-06-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL000203302080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALH15723Medicare UPIN
AL51501522OtherBLUE CROSS BLUE SHIELD
ALH15723Medicare UPIN