Individual
DR. JOSE LUIS GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1C 13 DON PELAYO AVE., TOA BAJA, PR 00949
(787) 740-4994
(787) 251-0539
Mailing address
PO BOX 607071, PMB 125, BAYAMON, PR 00960-7071
(787) 740-4994
(787) 251-0539
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
11108
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11108
STATE MEDICAL LICENSE
PR
01
—
201725
PREFERRED HEALTH
PR
01
—
500359E
MEDICARE MUCHO MAS (MMM)
PR
01
—
89154
TRIPLE S INSURANCE
PR
01
—
9490016
HUMANA INSURANCE
PR
Enumeration date
07/26/2005
Last updated
04/14/2008
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