Provider Demographics
NPI:1720774565
Name:GARCIA, EILEEN FRANCO
Entity Type:Individual
Prefix:MISS
First Name:EILEEN
Middle Name:FRANCO
Last Name:GARCIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. HACIENDA CONCORDIA II CASA 91 CALLE LIRIO
Mailing Address - Street 2:SANTA ISABEL
Mailing Address - City:SANTA ISABEL
Mailing Address - State:PR
Mailing Address - Zip Code:00757
Mailing Address - Country:US
Mailing Address - Phone:787-245-8926
Mailing Address - Fax:
Practice Address - Street 1:URB. HACIENDA CONCORDIA II CASA 91 CALLE LIRIO
Practice Address - Street 2:SANTA ISABEL
Practice Address - City:SANTA ISABEL
Practice Address - State:PR
Practice Address - Zip Code:00757
Practice Address - Country:US
Practice Address - Phone:787-245-8926
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-14
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR163861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical