Individual provider Active NPI

Juan R Garcia Sr., MD

  • General Practice Physician
  • Las Marias, PR
National Provider Identifier
1023237625
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
15613 Issued in PR
Practice address
9 Calle San Benito
Las Marias, PR 00670-2102
Phone
(787) 590-2347
NPI assigned
Apr 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 15613 PR Primary

Addresses

Primary practice location

9 Calle San Benito
Las Marias, PR 00670-2102

Mailing address

Farallon 3312 Alturas de Mayaguez
Mayaguez, PR 00682
Phone (787) 590-2347

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
I20110421000128 PR Practitioner - General Practice 8729263553 Practice locations: Las Marias, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9 Calle San Benito
Las Marias, PR 00670-2102
Phone (787) 827-1646

Hospital & facility affiliations

  • Western Medical Hospice Hospice, Mayaguez, PR, CCN 401561

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Paradise Medical Spa CurrentSince Mar 1, 2020 Accepting new patients
Servicio de Salud Y Algo Mas General Practice CurrentSince Apr 30, 2023 Accepting new patients
Aguadilla Medical Services, Inc Past Accepting new patients

Organizations & group practices 3

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

Hospital & facility affiliations 1

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": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358899200000",
    "number": "1023237625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FARALLON 3312 ALTURAS DE MAYAGUEZ",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00682",
            "telephone_number": "787-590-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CALLE SAN BENITO",
            "city": "LAS MARIAS",
            "state": "PR",
            "postal_code": "006702102",
            "telephone_number": "787-590-2347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "JUAN",
        "middle_name": "R",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2013-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Marias, PR

Sources for this page

Verify at the official NPI Registry.