Provider Demographics
NPI:1982923363
Name:GARCIA, NADYA (OT/L)
Entity Type:Individual
Prefix:MS
First Name:NADYA
Middle Name:
Last Name:GARCIA
Suffix:
Gender:F
Credentials:OT/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 CALLE CIELO RUBI
Mailing Address - Street 2:CIELO DORADO VILLAGE
Mailing Address - City:VEGA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00692-8814
Mailing Address - Country:US
Mailing Address - Phone:787-922-3015
Mailing Address - Fax:
Practice Address - Street 1:121 CALLE CIELO RUBI
Practice Address - Street 2:CIELO DORADO VILLAGE
Practice Address - City:VEGA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00692-8814
Practice Address - Country:US
Practice Address - Phone:787-922-3015
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-24
Last Update Date:2010-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR994225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist