Individual provider Active NPI

Aurelio Garcia Medina, MD

  • Internal Medicine Physician
  • Ponce, PR
National Provider Identifier
1013101021
Registry record updated Oct 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
16565 Issued in PR
Practice address
Mansion del Lago Calle 3 # 89
Ponce, PR 00732-0067
Phone
(787) 247-2427
NPI assigned
Sep 3, 2007
Last updated
Oct 26, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2012

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 16565 PR Primary

Addresses

Primary practice location

Mansion del Lago Calle 3 # 89
Ponce, PR 00732-0067

Mailing address

PO Box 10067
Ponce, PR 00732-0067
Phone (787) 247-2427

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080721000081 PR Practitioner - Internal Medicine 5890868194 Practice locations: Ponce, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Torre Medica San Lucas
Suite 816
Ponce, PR 00717
Phone (787) 247-2427

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Southcal Internal Providers Inc Internal Medicine PastSince Aug 18, 2017 Accepting new patients
In/Patient Services LLC Internal Medicine PastSince Feb 1, 2023 Accepting new patients
Saint Lukes Memorial Hospital Inc Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1188777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351209600000",
    "number": "1013101021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10067",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007320067",
            "telephone_number": "787-247-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MANSION DEL LAGO CALLE 3 # 89",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007320067",
            "telephone_number": "787-247-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA MEDINA",
        "first_name": "AURELIO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-03",
        "last_updated": "2012-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "16565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.