LUIS OCTAVIO TIERRADENTRO GARCIA MD
NPI 1194400382
Radiology - Diagnostic Radiology in Philadelphia, PA
- Individual
- Male
- Radiology
- Diagnostic Radiology
About LUIS TIERRADENTRO GARCIA
This page provides the complete NPI Profile along with additional information for Luis Tierradentro Garcia, a provider established in Philadelphia, Pennsylvania with a medical specialization in Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1194400382 assigned on June 2023. The practitioner's primary taxonomy code is 2085R0202X with license number MT232581 (PA). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1194400382 Verify this NPI
- Provider Name
- LUIS OCTAVIO TIERRADENTRO GARCIA MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3400 SPRUCE ST PHILADELPHIA, PA 19104
- Location Phone
- (267) 758-4799
- Mailing Address
- 3400 SPRUCE ST PHILADELPHIA, PA 19104
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-16-2023
- Last Update Date
- 08-28-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Diagnostic Radiology
- Taxonomy Code
- 2085R0202X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MT232581
- License State
- PA
- Taxonomy Description
- A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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The following 20 providers are registered at the same or a nearby location.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194400382, enumerated as an "individual" on June 16, 2023.
The provider is located at 3400 SPRUCE ST PHILADELPHIA, PA 19104 and the phone number is (267) 758-4799.
Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.