Individual
GERARDO GARCIA
Active
Individual
GERARDO GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0116022013
VA
207R00000X
Internal Medicine Physician
TP386
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497082895
—
VA
05
—
7100238670
—
KY
01
—
P01200420
RAILROAD MEDICARE
TN
05
—
Q000344
—
TN
Enumeration date
11/06/2009
Last updated
10/28/2016
Update your record
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