Provider Demographics
NPI:1457076036
Name:GARCIA, THAMARA (MRC)
Entity Type:Individual
Prefix:
First Name:THAMARA
Middle Name:
Last Name:GARCIA
Suffix:
Gender:F
Credentials:MRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB PARK GARDENS
Mailing Address - Street 2:R9 CALLE COLONIAL
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-2131
Mailing Address - Country:US
Mailing Address - Phone:787-452-7336
Mailing Address - Fax:
Practice Address - Street 1:URB PARK GARDENS
Practice Address - Street 2:R9 CALLE COLONIAL
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-2131
Practice Address - Country:US
Practice Address - Phone:787-452-7336
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-06
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional