Victoria Mae Garcia, CDP
Individual provider Active NPI Home Health Certified Respiratory Therapist · Ilfeld, NM
NPI 1124700562 · NPPES record last updated Aug 4, 2023
Key facts
- NPI
- 1124700562
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Certified Respiratory Therapist 2278H0200X
- License
- 6888283 (NM)
- Practice address
- 43 Big Cheif Rd
Ilfeld, NM 87538 - Phone
- (505) 469-7773
- Fax
- (505) 657-7733
- NPI assigned
- Aug 4, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6888283 | NM | MD | Home Health Certified Respiratory Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Certified Respiratory Therapist |
2278H0200X | 6888283 | NM | Yes |
Addresses
Primary practice location
43 Big Cheif Rd
Ilfeld, NM 87538
Mailing address
HC 73 Box 549
San Jose, NM 87565-9714
Phone (505) 469-7773
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.