Individual provider Active NPI

Ann Marie Garcia Chaparro

  • General Practice Physician
  • San Sebastian, PR
National Provider Identifier
1053800805
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
21461 Issued in PR
Practice address
Carr 447 KM 3.8 Bo Aibonito Guerrero
San Sebastian, PR 00685
Phone
(787) 896-5738
NPI assigned
May 8, 2018
Last updated
Aug 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
General Practice Physician 208D00000X 21461 PR Primary

Addresses

Primary practice location

Carr 447 KM 3.8 Bo Aibonito Guerrero
San Sebastian, PR 00685

Mailing address

PO Box 1158
Isabela, PR 00662-1158
Phone (787) 922-7842

Other practice location 1

Carr 2 km 141.1 Ave Severiano Cuevas
Bo Caimital Bajo
Aguadilla, PR 00603
Phone (787) 658-0000

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
I20201110001465 PR Practitioner - General Practice 4284044835 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21461PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
G&C Health Group P.S.C CurrentSince Nov 5, 2020 Accepting new patients

Locations

3106 Ave Juan Hernandez Ortiz
Isabela, PR 00662
Phone (787) 291-7437

Organizations & group practices 1

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": "1525737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1053800805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1158",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006621158",
            "telephone_number": "787-922-7842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 447 KM 3.8 BO AIBONITO GUERRERO",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "00685",
            "telephone_number": "787-896-5738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Carr 2 km 141.1 Ave Severiano Cuevas",
            "address_2": "Bo Caimital Bajo",
            "address_purpose": "LOCATION",
            "city": "Aguadilla",
            "state": "PR",
            "postal_code": "00603",
            "country_code": "US",
            "telephone_number": "787-658-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA CHAPARRO",
        "first_name": "ANN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-08",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Sebastian, PR

Sources for this page

Verify at the official NPI Registry.