Tim Garcia, M.D.
Individual provider Active NPI Family Medicine Physician · Cuba, NM
NPI 1710995832 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1710995832
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 93264 (NM)
- Practice address
- 6349 Highway 550
Cuba, NM 87013 - Phone
- (505) 289-3291
- Fax
- (505) 289-9101
- NPI assigned
- Aug 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 93264 | NM | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 93264 | NM | Yes |
Addresses
Primary practice location
6349 Highway 550
Cuba, NM 87013
Mailing address
7406 Corrales Rd
Corrales, NM 87048-9020
Phone (505) 792-0170
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K4598 | Medicaid | NM |
Other providers in Cuba, NM
- Cuba Independent Schools
- Dialysis Clinic Inc
- Raymond Eichwald
- Andrea Eicker
- Hiba El-Yassin
- Karen Wynne Murphy Hillis
- Jennifer E Horne
- Nicolette Noel James
- Patricia Keeler
- Richard Lande Kozoll
All providers in Cuba, NM · Family Medicine Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.