Provider Demographics
NPI:1902504889
Name:GARCIA ALICEA, SOLIMAR
Entity Type:Individual
Prefix:MRS
First Name:SOLIMAR
Middle Name:
Last Name:GARCIA ALICEA
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:STREET 12 L 1
Mailing Address - Street 2:URBANIZACION SANTA JUANA 2
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-2038
Mailing Address - Country:US
Mailing Address - Phone:787-324-3409
Mailing Address - Fax:
Practice Address - Street 1:CALLE 12 L 1
Practice Address - Street 2:URBANIZACION SANTA JUANA 2
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-2038
Practice Address - Country:US
Practice Address - Phone:787-324-3409
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-20
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6780103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling