Provider Demographics
NPI:1356134498
Name:GARCIA, GERALDINE
Entity type:Individual
Prefix:
First Name:GERALDINE
Middle Name:
Last Name:GARCIA
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 1:4901 N MESA ST APT 3307
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-5937
Mailing Address - Country:US
Mailing Address - Phone:575-314-4949
Mailing Address - Fax:575-314-4949
Practice Address - Street 1:4901 N MESA ST APT 3307
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-5937
Practice Address - Country:US
Practice Address - Phone:575-314-4949
Practice Address - Fax:575-314-4949
Is Sole Proprietor?:No
Enumeration Date:2025-05-22
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator