Individual provider · Type 1 NPI
Luis Octavio Tierradentro Garcia, MD
Diagnostic Radiology Physician · Philadelphia, PA
NPI number
1194400382
Active
Practice location
3400 Spruce St
Philadelphia, PA 19104-4238
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | MT232581 (PA) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1194400382
Luis Octavio Tierradentro Garcia, MD's National Provider Identifier is 1194400382, issued on Jun 16, 2023. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 28, 2025.