Provider Demographics
NPI:1588758973
Name:GARCIA, DELIA D (RD)
Entity type:Individual
Prefix:MS
First Name:DELIA
Middle Name:D
Last Name:GARCIA
Suffix:
Gender:F
Credentials:RD
Other - Prefix:MRS
Other - First Name:DELIA
Other - Middle Name:D
Other - Last Name:CARPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 965
Mailing Address - Street 2:
Mailing Address - City:ROCIADA
Mailing Address - State:NM
Mailing Address - Zip Code:87742-0965
Mailing Address - Country:US
Mailing Address - Phone:505-923-5356
Mailing Address - Fax:505-923-5654
Practice Address - Street 1:1202 HIGHWAY 60
Practice Address - Street 2:SOCORRO GENERAL HOSPITAL
Practice Address - City:SOCORRO
Practice Address - State:NM
Practice Address - Zip Code:87801-3914
Practice Address - Country:US
Practice Address - Phone:575-835-8305
Practice Address - Fax:575-835-8703
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2019-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM496133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered