Provider Demographics
NPI:1932552270
Name:GARCIA, PABLO
Entity Type:Individual
Prefix:
First Name:PABLO
Middle Name:
Last Name:GARCIA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 UNM MSC 04-2785
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87131-1723
Mailing Address - Country:US
Mailing Address - Phone:505-272-0407
Mailing Address - Fax:
Practice Address - Street 1:1 UNM MSC 04-2785
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87131-1723
Practice Address - Country:US
Practice Address - Phone:505-272-0407
Practice Address - Fax:505-272-0407
Is Sole Proprietor?:No
Enumeration Date:2016-07-22
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMM2022-1160207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology