Active NPI
Johana Garcia, DDS
- Dentist
- San Juan, PR
National Provider Identifier
1104977792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2027
- Practice address
- 653 Calle Hipodromo Ste 203
San Juan, PR 00909-2159 - Phone
- (787) 723-4938
- NPI assigned
- Jan 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2027 | PR | Primary |
Addresses
Primary practice location
653 Calle Hipodromo Ste 203
San Juan, PR 00909-2159
Mailing address
Villas de Parana
Calle 4 S1-20
San Juan, PR 00926
Phone (787) 723-4938
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2027 | Other | PR | PROVIDER 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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2027 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604016000000",
"number": "1104977792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "VILLAS DE PARANA",
"address_2": "CALLE 4 S1-20",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-723-4938",
"fax_number": "787-725-2553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "653 CALLE HIPODROMO STE 203",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009092159",
"telephone_number": "787-723-4938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "JOHANA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-12",
"last_updated": "2020-10-30",
"certification_date": "2020-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PR",
"license": "2027",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER LICENSE",
"identifier": "2027",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.