Gabriel Rodriguez Garcia, RN

Individual provider Active NPI Infection Control Registered Nurse · Oak Bluffs, MA

NPI 1144979022 · NPPES record last updated Mar 19, 2022

Key facts

NPI
1144979022
Entity type
Individual (NPI type 1)
Primary specialty
Infection Control Registered Nurse 163WI0600X
License
RN2289417 (MA)
Practice address
1 Hospital Rd
Oak Bluffs, MA 02557-1406
Phone
(508) 684-4510
NPI assigned
Mar 19, 2022
Sex
Male
Sole proprietor
Yes

Organizations & group practices 4

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240819001896 MA Practitioner - Nurse Practitioner 1557809779 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Martha'S Vineyard Hospital, Inc. Current
since Jul 29, 2024
Accepting new patients
Martha'S Vineyard Hospital Current Accepting new patients
Martha'S Vineyard Hospital, Inc. Current
since Jul 29, 2024
Accepting new patients
Martha'S Vineyard Hospital, Inc. Past Accepting new patients

Locations

1 Hospital Rd
Oak Bluffs, MA 02557
Phone (508) 684-4500

Interoperability endpoints

  • Direct secure messaging: garcia.gabriel.mvh@direct.partners.masshiway.net

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Infection Control Registered Nurse 163WI0600X RN2289417 MA Yes

Addresses

Primary practice location

1 Hospital Rd
Oak Bluffs, MA 02557-1406

Mailing address

PO Box 1884
Vineyard Haven, MA 02568-0912
Phone (626) 862-6826

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 19, 2022.

{
    "created_epoch": "1647648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647648000000",
    "number": "1144979022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1884",
            "city": "VINEYARD HAVEN",
            "state": "MA",
            "postal_code": "025680912",
            "telephone_number": "626-862-6826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL RD",
            "city": "OAK BLUFFS",
            "state": "MA",
            "postal_code": "025571406",
            "telephone_number": "508-684-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "GABRIEL",
        "middle_name": "RODRIGUEZ",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-19",
        "last_updated": "2022-03-19",
        "certification_date": "2022-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infection Control",
            "state": "MA",
            "license": "RN2289417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Bluffs, MA

All providers in Oak Bluffs, MA · Infection Control Registered Nurse in Massachusetts

Sources for this page

Verify at the official NPI Registry.