Provider Demographics
NPI:1447950357
Name:GARCIA DE ALBA, AIXA MARIA (DC)
Entity type:Individual
Prefix:DR
First Name:AIXA
Middle Name:MARIA
Last Name:GARCIA DE ALBA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RR 5 BOX 9050
Mailing Address - Street 2:
Mailing Address - City:TOA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00953-9247
Mailing Address - Country:US
Mailing Address - Phone:787-393-9452
Mailing Address - Fax:
Practice Address - Street 1:134 CALLE DOMENECH
Practice Address - Street 2:URB BALDRICH
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918
Practice Address - Country:US
Practice Address - Phone:787-957-6691
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-08
Last Update Date:2023-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR901111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor