# ID CARE PR LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104799337
- **Authorized official:** DR. ETHYANN ARLENE GARCIA MATEO MD (PRESIDENT)
- **Authorized official phone:** (787) 370-3252

## Contact information

- **Practice address:** 2049 CALLE LUIS XIV, MAYAGUEZ, PR 00682-7846
- **Practice address phone:** (787) 370-3252
- **Mailing address:** 2049 CALLE LUIS XIV, MAYAGUEZ, PR 00682-7846

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | — | NULL | Yes |
| 207RI0200X | Infectious Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/24/2025
- **Last updated:** 09/24/2025