Provider Demographics
NPI:1841480027
Name:GARCIA-PORRAS, MARCELA (DDS)
Entity type:Individual
Prefix:DR
First Name:MARCELA
Middle Name:
Last Name:GARCIA-PORRAS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:MARCELA
Other - Middle Name:
Other - Last Name:GARCIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:987 N UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-7048
Mailing Address - Country:US
Mailing Address - Phone:954-753-4005
Mailing Address - Fax:954-753-7191
Practice Address - Street 1:987 N UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-7048
Practice Address - Country:US
Practice Address - Phone:954-753-4005
Practice Address - Fax:954-753-7191
Is Sole Proprietor?:No
Enumeration Date:2007-07-25
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN15154122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist