Garcia, Mario R.

Garcia, Mario R. is an individual health care provider with primary practice located at 100 W Griggs Ave , Las Cruces NM 88001. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Garcia, Mario R. can be contacted via phone (575) 647-2800.

Contact Information

Primary practice address
100 W Griggs Ave Las Cruces NM 88001
Fax: (575) 647-2898
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1194941500
LBN Legal business name Garcia, Mario R.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2007
Last updated Aug 24th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194941500 NPPES
New Mexico MEDICAID 26880733

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