Provider Demographics
NPI:1700761459
Name:GARCED, XIOMARA ELISA (BSN)
Entity type:Individual
Prefix:
First Name:XIOMARA
Middle Name:ELISA
Last Name:GARCED
Suffix:
Gender:F
Credentials:BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 172
Mailing Address - Street 2:
Mailing Address - City:CIDRA
Mailing Address - State:PR
Mailing Address - Zip Code:00739-0172
Mailing Address - Country:US
Mailing Address - Phone:787-215-2511
Mailing Address - Fax:
Practice Address - Street 1:508 CALLE ARTICO
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00920-4139
Practice Address - Country:US
Practice Address - Phone:787-215-2511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR077035163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice