Provider Demographics
NPI:1841480050
Name:GARCIA, ANTONIO LUMABAN (MD)
Entity type:Individual
Prefix:
First Name:ANTONIO
Middle Name:LUMABAN
Last Name:GARCIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:241 CONDO LANE
Mailing Address - Street 2:ALUPANG COVE APT 106
Mailing Address - City:TAMUNING
Mailing Address - State:GU
Mailing Address - Zip Code:96913
Mailing Address - Country:US
Mailing Address - Phone:671-649-2222
Mailing Address - Fax:
Practice Address - Street 1:428 CHALAN SAN ANTONIO
Practice Address - Street 2:P&F PROFESSIONAL MANOR SUITE 101
Practice Address - City:TAMUNING
Practice Address - State:GU
Practice Address - Zip Code:96913
Practice Address - Country:US
Practice Address - Phone:671-647-9893
Practice Address - Fax:671-646-4429
Is Sole Proprietor?:No
Enumeration Date:2007-07-25
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GUM001493208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics