Provider Demographics
NPI:1396283545
Name:GARCIA, SANTIAGO SERGIO (DO)
Entity type:Individual
Prefix:MR
First Name:SANTIAGO
Middle Name:SERGIO
Last Name:GARCIA
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:220 W HILLSIDE RD
Mailing Address - Street 2:SUITE 9
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-6903
Mailing Address - Country:US
Mailing Address - Phone:956-724-5656
Mailing Address - Fax:956-726-3093
Practice Address - Street 1:220 W HILLSIDE RD
Practice Address - Street 2:SUITE 9
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-6903
Practice Address - Country:US
Practice Address - Phone:956-724-5656
Practice Address - Fax:956-726-3093
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-08
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX224771156FC0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FC0801XEye and Vision Services ProvidersTechnician/TechnologistContact Lens Fitter