Provider Demographics
NPI:1730200403
Name:GARCIA, ANGELA N (DMD)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:N
Last Name:GARCIA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:554 CALLE PERSEO LOCAL C
Mailing Address - Street 2:COND IBERIA 1
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00920
Mailing Address - Country:US
Mailing Address - Phone:787-781-7330
Mailing Address - Fax:787-782-7532
Practice Address - Street 1:CONDOMINIO IBERIA1 LOCAL C
Practice Address - Street 2:CALLE PERSEO #554 ALTAMIRA
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00920
Practice Address - Country:US
Practice Address - Phone:787-781-7330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2009-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2767122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist