Provider Demographics
NPI:1124138623
Name:GARCIA-LLORENS, MIGUEL A (MD)
Entity type:Individual
Prefix:DR
First Name:MIGUEL
Middle Name:A
Last Name:GARCIA-LLORENS
Suffix:
Gender:M
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:PO BOX 142467
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00614-2467
Mailing Address - Country:US
Mailing Address - Phone:787-815-4000
Mailing Address - Fax:787-880-3313
Practice Address - Street 1:MEDICAL AND PROFESSIONAL OFFICE PLAZA
Practice Address - Street 2:CARR 493 KM 0.5 SUITE 114 BO CARRIZALES
Practice Address - City:HATILLO
Practice Address - State:PR
Practice Address - Zip Code:00659
Practice Address - Country:US
Practice Address - Phone:787-815-4000
Practice Address - Fax:787-817-4412
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2019-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12133207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR88479Medicare ID - Type Unspecified