Provider Demographics
NPI:1154588697
Name:GARCIA, ROSALINDA (LCDA)
Entity type:Individual
Prefix:MRS
First Name:ROSALINDA
Middle Name:
Last Name:GARCIA
Suffix:
Gender:F
Credentials:LCDA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CALLE CRISANTEMO C 1 URB ESXTANCIAS DE BAIROA
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725
Mailing Address - Country:US
Mailing Address - Phone:787-642-0098
Mailing Address - Fax:787-745-4027
Practice Address - Street 1:CALLE CRISANTEMO C 1 URB ESXTANCIAS DE BAIROA
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00726
Practice Address - Country:US
Practice Address - Phone:787-642-0098
Practice Address - Fax:787-745-4027
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-21
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2508174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR2508OtherLICENCIA TECNOLOGO