Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Wallacy Souza Garcia, MD

Individual provider Cardiovascular Disease Physician · NPI 1982982864

Dr. Wallacy Souza Garcia, MD is a Cardiovascular Disease (Cardiology) in Pueblo, Colorado. Qualified in 2004, 22 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group and accepts Medicare assignment. Licensed in Colorado and New York.

Years since qualifying
22
Licensed in
CO, NY
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3670 Parker Blvd Ste 101
Pueblo, CO 81008-2285
Phone: (719) 564-1544
Fax: (719) 924-1592
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence DR.0056470 (CO)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence P77521 (NY)

Record details

NPI number1982982864
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 27, 2011
Last updated in NPPESSeptember 2, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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