Provider Demographics
NPI:1306918743
Name:GARCIA, JOSHUA RENE
Entity type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:RENE
Last Name:GARCIA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 E MAIN ST
Mailing Address - Street 2:SUITE 1000
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23510-1753
Mailing Address - Country:US
Mailing Address - Phone:757-628-4348
Mailing Address - Fax:757-628-4351
Practice Address - Street 1:300 E MAIN ST
Practice Address - Street 2:SUITE 1000
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23510-1753
Practice Address - Country:US
Practice Address - Phone:757-628-4348
Practice Address - Fax:757-628-4351
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other