Provider Demographics
NPI:1265534473
Name:MONROIG GARCIA, SAMUEL ANGEL (MD)
Entity type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:ANGEL
Last Name:MONROIG GARCIA
Suffix:
Gender:M
Credentials:MD
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 849
Mailing Address - Street 2:
Mailing Address - City:CAMUY
Mailing Address - State:PR
Mailing Address - Zip Code:00627-0849
Mailing Address - Country:US
Mailing Address - Phone:787-209-6750
Mailing Address - Fax:787-820-3900
Practice Address - Street 1:CARR. 119 KM 9.2
Practice Address - Street 2:PLAZA PALOMAR SUITE 2
Practice Address - City:CAMUY
Practice Address - State:PR
Practice Address - Zip Code:00627-0849
Practice Address - Country:US
Practice Address - Phone:787-209-6750
Practice Address - Fax:787-820-3900
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13122208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR100269WOtherMEDICARE Y MUCHO MAS
PR1441OtherPMC MEDICARE CHOICE
PRH36010Medicare UPIN
PR1441OtherPMC MEDICARE CHOICE