Active NPI
Eduardo Luis Garcia, D.M.D.
- General Practice Dentistry
- Carolina, PR
National Provider Identifier
1114025970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8674
- Practice address
- 5900 Ave Isla Verde
PMB 272
Carolina, PR 00979-5746 - Phone
- (787) 256-1423
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2275 | PR | |
| General Practice Dentistry | 1223G0001X | 8674 | SC | Primary |
Addresses
Primary practice location
5900 Ave Isla Verde
PMB 272
Carolina, PR 00979-5746
Mailing address
5 Calle Mimosa
Santa Maria
San Juan, PR 00927-6710
Phone (787) 256-1423
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 |
|---|---|---|---|
| 8674 | SC | MD | General Practice Dentistry |
| 2275 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513036800000",
"number": "1114025970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 CALLE MIMOSA",
"address_2": "SANTA MARIA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009276710",
"telephone_number": "787-256-1423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 AVE ISLA VERDE",
"address_2": "PMB 272",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009795746",
"telephone_number": "787-256-1423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "EDUARDO",
"middle_name": "LUIS",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2017-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PR",
"license": "2275",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "8674",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.