Provider Demographics
NPI:1427108331
Name:GARCIA, AUGUSTO CESAR (DMD)
Entity type:Individual
Prefix:DR
First Name:AUGUSTO
Middle Name:CESAR
Last Name:GARCIA
Suffix:
Gender:M
Credentials:DMD
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 3241
Mailing Address - Street 2:
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00605-3241
Mailing Address - Country:US
Mailing Address - Phone:787-882-2529
Mailing Address - Fax:787-891-6171
Practice Address - Street 1:CARR 107, REPARTO EL FARO #2
Practice Address - Street 2:
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603-3241
Practice Address - Country:US
Practice Address - Phone:787-882-2529
Practice Address - Fax:787-891-6171
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14231223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics