Provider Demographics
NPI:1871785063
Name:GARCIA-BRENES, ORENCIO (MD)
Entity type:Individual
Prefix:DR
First Name:ORENCIO
Middle Name:
Last Name:GARCIA-BRENES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 NATCHEZ CT
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-4011
Mailing Address - Country:US
Mailing Address - Phone:334-213-7332
Mailing Address - Fax:
Practice Address - Street 1:FPC MONTGOMERY, MAXWELL AFB, 930 RIVER RD.
Practice Address - Street 2:BLDG. 1226
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36112
Practice Address - Country:US
Practice Address - Phone:334-293-2161
Practice Address - Fax:334-293-2328
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-13
Last Update Date:2007-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12610207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine