Individual provider Active NPI

Mario Espinosa Garcia, MD

  • Pulmonary Disease Physician
  • Bayamon, PR
National Provider Identifier
1083653141
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
5005 Issued in PR
Practice address
66 Calle Santa Cruz
Suite 404 Instituto San Pablo
Bayamon, PR 00961-7041
Phone
(787) 449-4486
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 5005 PR Primary

Addresses

Primary practice location

66 Calle Santa Cruz
Suite 404 Instituto San Pablo
Bayamon, PR 00961-7041

Mailing address

66 Calle Santa Cruz
Suite 404 Instituto San Pablo
Bayamon, PR 00961-7041

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
I20120411000344 PR Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 3577724939 Practice locations: Bayamon, PR

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Calle Santa Cruz
66 Suite 404
Bayamon, PR 00961-7049
Phone (787) 786-4567

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5005PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1083653141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 CALLE SANTA CRUZ",
            "address_2": "SUITE 404 INSTITUTO SAN PABLO",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 CALLE SANTA CRUZ",
            "address_2": "SUITE 404 INSTITUTO SAN PABLO",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617041",
            "telephone_number": "787-449-4486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPINOSA GARCIA",
        "first_name": "MARIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PR",
            "license": "5005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.