Provider Demographics
NPI:1457341927
Name:GARRIGA, MARGARITA M (MD)
Entity Type:Individual
Prefix:DR
First Name:MARGARITA
Middle Name:M
Last Name:GARRIGA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARGARITA
Other - Middle Name:M
Other - Last Name:GARRIGA-TRILLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:147 MILK ST
Mailing Address - Street 2:400
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02109-4806
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:147 MILK ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02109-4806
Practice Address - Country:US
Practice Address - Phone:617-654-7240
Practice Address - Fax:617-654-7177
Is Sole Proprietor?:No
Enumeration Date:2005-10-26
Last Update Date:2014-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301055874207RA0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0201XAllopathic & Osteopathic PhysiciansInternal MedicineAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2141205Medicaid
F34992Medicare UPIN
MA000102001Medicare PIN