Provider Demographics
NPI:1669436200
Name:GARCIA, EVELIO D (MD FACC FSCAI)
Entity type:Individual
Prefix:DR
First Name:EVELIO
Middle Name:D
Last Name:GARCIA
Suffix:
Gender:M
Credentials:MD FACC FSCAI
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 301
Mailing Address - Street 2:
Mailing Address - City:HAYTI
Mailing Address - State:SD
Mailing Address - Zip Code:57241-0301
Mailing Address - Country:US
Mailing Address - Phone:605-783-2999
Mailing Address - Fax:605-783-1399
Practice Address - Street 1:PO BOX 301
Practice Address - Street 2:
Practice Address - City:HAYTI
Practice Address - State:SD
Practice Address - Zip Code:57241-0301
Practice Address - Country:US
Practice Address - Phone:605-783-2999
Practice Address - Fax:605-783-1399
Is Sole Proprietor?:No
Enumeration Date:2006-04-12
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ6112207RC0000X
SD7092207RC0000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX133683609Medicaid
TX0084BLOtherBLUE SHIELD BLUE CROSS
TX8F0499Medicare PIN
TX133683609Medicaid