Provider Demographics
NPI:1023476918
Name:GARCIA, ROSA DEL CARMEN (PA-C, RD)
Entity type:Individual
Prefix:MRS
First Name:ROSA
Middle Name:DEL CARMEN
Last Name:GARCIA
Suffix:
Gender:F
Credentials:PA-C, RD
Other - Prefix:MISS
Other - First Name:ROSA
Other - Middle Name:DEL CARMEN
Other - Last Name:RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:5140 N 10TH ST
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-2834
Mailing Address - Country:US
Mailing Address - Phone:956-972-1600
Mailing Address - Fax:
Practice Address - Street 1:5140 N 10TH ST
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-2834
Practice Address - Country:US
Practice Address - Phone:956-972-1600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-05
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT83620133V00000X
TXPA09995363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered