Provider Demographics
NPI:1316134349
Name:UMBERTO I GARCIA MD P A
Entity type:Organization
Organization Name:UMBERTO I GARCIA MD P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:
Authorized Official - First Name:UMBERTO
Authorized Official - Middle Name:I
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-521-7411
Mailing Address - Street 1:1200 S TELSHOR BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88011-4747
Mailing Address - Country:US
Mailing Address - Phone:505-521-7411
Mailing Address - Fax:505-521-7537
Practice Address - Street 1:1200 S TELSHOR BLVD
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88011-4747
Practice Address - Country:US
Practice Address - Phone:505-521-7411
Practice Address - Fax:505-521-7537
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-03
Last Update Date:2007-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM18366Medicaid
NMC97788Medicare UPIN
NM2135191Medicare PIN