Provider Demographics
NPI:1326148115
Name:GARCIA, ROLANDO (PA-C)
Entity type:Individual
Prefix:
First Name:ROLANDO
Middle Name:
Last Name:GARCIA
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2614 MEMORIAL BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:CONNELLSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15425-1405
Mailing Address - Country:US
Mailing Address - Phone:724-638-4537
Mailing Address - Fax:724-603-3561
Practice Address - Street 1:101 TRICH DR STE 4
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-5989
Practice Address - Country:US
Practice Address - Phone:724-705-1345
Practice Address - Fax:724-603-3561
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA051279363A00000X
WV961363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVGA6031232Medicare ID - Type Unspecified
P85270Medicare UPIN