Provider Demographics
NPI:1588474357
Name:GARCIA BORROTO, MIRAY
Entity type:Individual
Prefix:
First Name:MIRAY
Middle Name:
Last Name:GARCIA BORROTO
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 1:905 WALLKILL AVE
Mailing Address - Street 2:
Mailing Address - City:PINE BUSH
Mailing Address - State:NY
Mailing Address - Zip Code:12566-6234
Mailing Address - Country:US
Mailing Address - Phone:863-266-8384
Mailing Address - Fax:
Practice Address - Street 1:905 WALLKILL AVE
Practice Address - Street 2:
Practice Address - City:PINE BUSH
Practice Address - State:NY
Practice Address - Zip Code:12566-6234
Practice Address - Country:US
Practice Address - Phone:863-266-8384
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter