Organization Active NPI

Instituto Medico Familiar Inc

  • Legal Medicine
  • Canovanas, PR
National Provider Identifier
1205948817
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
Legal business name
INSTITUTO MEDICO FAMILIAR INC
Practice address
58 Calle Corchado
Canovanas, PR 00729-3102
Phone
(787) 256-2015
Fax
(787) 256-5043
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Oscar Garcia, MD
Title
Presidente
Phone
(787) 256-2015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193200000X MULTI-SPECIALTY GROUP 173000000X PR Primary

Addresses

Primary practice location

58 Calle Corchado
Canovanas, PR 00729-3102

Mailing address

PO Box 1674
Canovanas, PR 00729-1674
Phone (787) 256-2015

Other identifiers 1

IdentifierTypeStateIssuer
3413OtherPRPROVIDER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040317000259 PR Part B Supplier - Clinic/Group Practice 4082504840 Receives reassigned benefits from 1 practitioner
Practice locations: Canovanas, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1205948817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1674",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007291674",
            "telephone_number": "787-256-2015",
            "fax_number": "787-256-5043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 CALLE CORCHADO",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007293102",
            "telephone_number": "787-256-2015",
            "fax_number": "787-256-5043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTO MEDICO FAMILIAR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-256-2015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER",
            "identifier": "3413",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canovanas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.