Individual provider Active NPI

Edgar Baucage Garcia, MD

  • Physical Medicine & Rehabilitation Physician
  • Moca, PR
National Provider Identifier
1013999655
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
5845 Issued in PR
Practice address
Calle Concepcion Vera Ayala 550
Moca, PR 00678-0068
Phone
(787) 877-3466
Fax
(787) 877-3466
NPI assigned
Nov 18, 2005
Last updated
Jul 23, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 5845 PR Primary

Addresses

Primary practice location

Calle Concepcion Vera Ayala 550
Moca, PR 00678-0068

Mailing address

PO Box 1298
Aguadilla, PR 00605-1298
Phone (787) 877-3466

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
I20071018000295 PR Practitioner - Physical Medicine and Rehabilitation 9830285154 Practice locations: Moca, PR

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica de Medicina Fisica Y Electrodiagnostico Inc. Past Accepting new patients
Kbaucage Fisiatra Past Accepting new patients
Centro de Terapia Fisica Y Electrodiagnostico Inc Past Accepting new patients
Neurosleep Puerto Rico LLC 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.

NPI Registry JSON

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374537600000",
    "number": "1013999655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1298",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006051298",
            "telephone_number": "787-877-3466",
            "fax_number": "787-877-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE CONCEPCION VERA AYALA 550",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006780068",
            "telephone_number": "787-877-3466",
            "fax_number": "787-877-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUCAGE GARCIA",
        "first_name": "EDGAR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2013-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PR",
            "license": "5845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moca, PR

Sources for this page

Verify at the official NPI Registry.