Provider Demographics
NPI:1699439281
Name:GARCIA, ROSA INES (NL)
Entity type:Individual
Prefix:MRS
First Name:ROSA
Middle Name:INES
Last Name:GARCIA
Suffix:
Gender:F
Credentials:NL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4956
Mailing Address - Street 2:AVE. BAIROA M-4 PMB 112
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726
Mailing Address - Country:US
Mailing Address - Phone:787-981-8800
Mailing Address - Fax:
Practice Address - Street 1:M3 CALLE SANTA MARIA # A
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-1570
Practice Address - Country:US
Practice Address - Phone:787-981-8800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-28
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR197175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty