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LUIS OCTAVIO TIERRADENTRO GARCIA MD
NPI 1194400382
Radiology - Diagnostic Radiology in Philadelphia, PA

Active since June 16, 2023
3400 SPRUCE ST, PHILADELPHIA, PA 19104(267) 758-4799 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 16, 2025, Jun 21, 2023, Jun 16, 2023 (3 updates tracked since 2023).

About Luis Octavio Tierradentro Garcia Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUIS OCTAVIO TIERRADENTRO GARCIA MD (NPI 1194400382) is an individual diagnostic radiology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT232581) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1194400382
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameLUIS OCTAVIO TIERRADENTRO GARCIACredential: MD
Location Address3400 SPRUCE STPhiladelphia, PA 19104-4238
Mailing Address3400 Spruce StPhiladelphia, PA 19104-4238
Phone(267) 758-4799
Sole ProprietorNo
Enumeration DateJune 16, 2023
Last NPPES UpdateAugust 28, 20253 updates tracked since enumeration
NPPES CertifiedAugust 28, 2025
✔ NPI 1194400382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in PA · MT232581
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
3400 SPRUCE ST, Philadelphia, PA 19104
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH FOGLIA MD
Pediatrics
3400 SPRUCE ST, 8 RAVDIN
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3228
JOEL M STEIN MD
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3005
PRISCILLA NELSON M.D.
Anesthesiology
3400 SPRUCE ST, 6 DULLES
PHILADELPHIA, PA 19104
Philadelphia County (215) 349-8310
DR. JASON THOMAS ACKRIVO MD
Internal Medicine (Pulmonary Disease)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 614-0871
JEAN-PHILIPPE RICHARD DMD
Student in an Organized Health Care Education/Training Program
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-6176
LEAH M LOPEZ PA-C
Physician Assistant (Medical)
3400 SPRUCE ST, 4 SILVERSTEIN
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-7870
MONIQUE LORRAINE ROBERTS SALAHUB
Anesthesiology (Critical Care Medicine)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-4000
JOANIE M GARRATT MD
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Luis Tierradentro Garcia's NPI number?

The NPI number for Luis Tierradentro Garcia is 1194400382. It was assigned to this individual provider in the NPPES registry on June 16, 2023.

Where is Luis Tierradentro Garcia located?

Luis Tierradentro Garcia practices at 3400 Spruce St, Philadelphia, PA 19104. The listed phone number is (267) 758-4799.

What is Luis Tierradentro Garcia's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Luis Tierradentro Garcia was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.