Individual provider · Type 1 NPI

Juan R. Garcia Jr., CCA

Anaplastologist · Baltimore, MD

NPI number 1003840166 Active

Practice location

601 N Caroline St Fl 6
Baltimore, MD 21287-0006

Fax (410) 955-1085

Mailing address

6201 Greenleigh Ave
Baltimore, MD 21220-2004

Specialties and licenses

TaxonomyCodeLicense
Anaplastologist Primary 229N00000X5271320002 (MD)
Mastectomy Fitter 224900000XNone listed
Ocularist 156FX1700XNone listed
Pedorthist 224L00000XNone listed
Orthotic Fitter 225000000XNone listed

Anaplastologist: An anaplastologist is a professional who creates prostheses for the face and body. Patients treated include those missing anatomy due to cancer, traumatic injury, or birth differences. Generally, there are no state licensing requirements for anaplastologists. Certification specific to anaplastology is provided through the Board for Certified Clinical Anaplastology (BCCA) with a credential title of Certified Clinical…

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About NPI 1003840166

Juan R. Garcia Jr., CCA's National Provider Identifier is 1003840166, issued on Jul 11, 2006. The primary taxonomy on file is Anaplastologist (229N00000X), and the practice location is in Baltimore, MD. The record was last updated on Mar 7, 2025.