Individual provider Active NPI

Vivian Milagros Garza

  • Internal Medicine Physician
  • Aguadilla, PR
National Provider Identifier
1003395062
Registry record updated Aug 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
14925-I Issued in PR
Practice address
Hospital Buen Samaritano
18 Ave Severiano Cuevas KM 141.1 Bo Caimital Bajo
Aguadilla, PR 00603
Phone
(787) 658-0000
NPI assigned
Aug 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 14925-I PR Primary

Addresses

Primary practice location

Hospital Buen Samaritano
18 Ave Severiano Cuevas KM 141.1 Bo Caimital Bajo
Aguadilla, PR 00603

Mailing address

Hospital Buen Samaritano Direccion Medica
4055 Apartado
Aguadilla, PR 00605

Other identifiers 1

IdentifierTypeStateIssuer
14925-IOtherPRJUNTA LICENCIA MEDICA PUERTO RICO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14925-IPRMDInternal Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1533859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533859200000",
    "number": "1003395062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HOSPITAL BUEN SAMARITANO DIRECCION MEDICA",
            "address_2": "4055 APARTADO",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSPITAL BUEN SAMARITANO",
            "address_2": "18 AVE SEVERIANO CUEVAS KM 141.1 BO CAIMITAL BAJO",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-658-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARZA",
        "first_name": "VIVIAN",
        "middle_name": "MILAGROS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-10",
        "last_updated": "2018-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "14925-I",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JUNTA LICENCIA MEDICA PUERTO RICO",
            "identifier": "14925-I",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.