Provider Demographics
NPI:1932116639
Name:GARCIA, FILIA SOFIA (MD)
Entity Type:Individual
Prefix:DR
First Name:FILIA
Middle Name:SOFIA
Last Name:GARCIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:FILIA
Other - Middle Name:S
Other - Last Name:GARCIA SANTANA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 360921
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-0921
Mailing Address - Country:US
Mailing Address - Phone:787-250-5981
Mailing Address - Fax:
Practice Address - Street 1:513 SOLDADO H L ALVARADO STREET #C
Practice Address - Street 2:URB ROOSEVELT
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-2850
Practice Address - Country:US
Practice Address - Phone:787-250-5981
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2015-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12296208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
G39792Medicare UPIN
88689Medicare ID - Type Unspecified