Provider Demographics
NPI:1073503835
Name:GARCIA, JOSE ORLANDO (MD)
Entity type:Individual
Prefix:DR
First Name:JOSE
Middle Name:ORLANDO
Last Name:GARCIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1379
Mailing Address - Street 2:
Mailing Address - City:AIBONITO
Mailing Address - State:PR
Mailing Address - Zip Code:00705-1379
Mailing Address - Country:US
Mailing Address - Phone:787-735-5678
Mailing Address - Fax:787-735-5678
Practice Address - Street 1:URB. VILLA ROSALES A-1
Practice Address - Street 2:CALLE DR.TROYER
Practice Address - City:AIBONITO
Practice Address - State:PR
Practice Address - Zip Code:00705-3309
Practice Address - Country:US
Practice Address - Phone:787-735-5678
Practice Address - Fax:787-735-5678
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-24
Last Update Date:2024-12-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR13055207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRI07157Medicare UPIN