Provider Demographics
NPI:1386706463
Name:GARCIA, MARIA LILIANA (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:LILIANA
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:CONDOMINIO ASTRALIS 907 CLLE. DIAZ WAY
Mailing Address - Street 2:ISLA VERDE
Mailing Address - City:CAROLINA
Mailing Address - State:PUERTO RICO
Mailing Address - Zip Code:00979
Mailing Address - Country:UM
Mailing Address - Phone:787-772-6966
Mailing Address - Fax:
Practice Address - Street 1:CONDOMINIO ASTRALIS 907 CLLE. DIAZ WAY
Practice Address - Street 2:ISLA VERDE
Practice Address - City:CAROLINA
Practice Address - State:PUERTO RICO
Practice Address - Zip Code:00979
Practice Address - Country:UM
Practice Address - Phone:787-772-6966
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12649208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRH27682Medicare UPIN