Individual provider Active NPI

Jorge Luis Garcia-Arteaga, P.A., BSN, RN.

  • Physician Assistant
  • Miami, FL
National Provider Identifier
1104814581
Registry record updated Jul 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9100726 Issued in FL
Practice address
8300 W Flagler St
210
Miami, FL 33144-6000
Phone
(305) 553-0270
Fax
(305) 553-0670
NPI assigned
Oct 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9100726 FL Primary

Addresses

Primary practice location

8300 W Flagler St
210
Miami, FL 33144-6000

Mailing address

20 SW 67TH Ave
Miami, FL 33144-2912
Phone (786) 271-3532

Other identifiers 1

IdentifierTypeStateIssuer
PA9100726OtherFLPA STATE OF FL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Physician Assistant, Registered Nurse

State licenses

LicenseStateTypeSpecialty
PA9100726FLMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467849600000",
    "number": "1104814581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SW 67TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442912",
            "telephone_number": "786-271-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 W FLAGLER ST",
            "address_2": "210",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331446000",
            "telephone_number": "305-553-0270",
            "fax_number": "305-553-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA-ARTEAGA",
        "first_name": "JORGE",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "P.A., BSN, RN.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2016-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9100726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA STATE OF FL LICENSE",
            "identifier": "PA9100726",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.