Provider Demographics
NPI:1275375420
Name:PRADO GARCIA, ANABEL
Entity type:Individual
Prefix:
First Name:ANABEL
Middle Name:
Last Name:PRADO GARCIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:521 W 186TH ST APT 21
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10033-2819
Mailing Address - Country:US
Mailing Address - Phone:347-658-8792
Mailing Address - Fax:
Practice Address - Street 1:521 W 186TH ST APT 21
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10033-2819
Practice Address - Country:US
Practice Address - Phone:347-658-8792
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-10
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty