Individual provider Active NPI

Jose M Garcia Garcia, MD

  • Surgery Physician
  • Carolina, PR
National Provider Identifier
1063526549
Registry record updated Dec 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
7002 Issued in PR
Practice address
Stree Via Leticia Number 4As1
Villa Fontana
Carolina, PR 00985-0000
Phone
(787) 750-0085
Fax
(787) 762-4520
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 7002 PR
Surgery Physician 208600000X 7002 PR Primary

Addresses

Primary practice location

Stree Via Leticia Number 4As1
Villa Fontana
Carolina, PR 00985-0000

Mailing address

Street a Number 16
Villa Caparra
Guaynabo, PR 00966-0016
Phone (787) 750-0085

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
I20120131000783 PR Practitioner - General Surgery 1254598428 Reassigns benefits to 1 organization
Practice locations: Carolina, PR

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recinto de Ciencias MedicasGroup PAC ID 3678469962, 246 clinicians

Practice addresses (Care Compare)

65 Carr 3 KM8
Carolina, PR 00984
Phone (809) 757-6420

Hospital & facility affiliations

  • Hospital Upr, Dr Federico Trilla Hospital, Carolina, PR, CCN 400112

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas CurrentSince Oct 1, 1985 Accepting new patients
Recinto de Ciencias Medicas Surgery CurrentSince Oct 1, 1985 Accepting new patients
Servicios Medicos Universitarios 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 2

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": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514419200000",
    "number": "1063526549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STREET A NUMBER 16",
            "address_2": "VILLA CAPARRA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009660016",
            "telephone_number": "787-750-0085",
            "fax_number": "787-762-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STREE VIA LETICIA NUMBER 4AS1",
            "address_2": "VILLA FONTANA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009850000",
            "telephone_number": "787-750-0085",
            "fax_number": "787-762-4520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA GARCIA",
        "first_name": "JOSE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2017-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "7002",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PR",
            "license": "7002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.