Provider Demographics
NPI:1124050927
Name:GARCIA, NALIX (MD)
Entity type:Individual
Prefix:DR
First Name:NALIX
Middle Name:
Last Name:GARCIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 CAMINO LOS BAEZ
Mailing Address - Street 2:EL BOSQUE 1304
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00971-9633
Mailing Address - Country:US
Mailing Address - Phone:787-768-9400
Mailing Address - Fax:787-768-9440
Practice Address - Street 1:URB VILLA CAROLINA CALLE 80
Practice Address - Street 2:BLQ. 111-51
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985
Practice Address - Country:US
Practice Address - Phone:787-768-9400
Practice Address - Fax:787-768-9440
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13915174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRH93414Medicare UPIN
PR0021618Medicare PIN