Individual provider Active NPI

Rosa M. Garcia, D.D.S.

  • General Practice Dentistry
  • Cabo Rojo, PR
National Provider Identifier
1225171200
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1933 Issued in PR
Practice address
Centro Profecional Borinquen
Oficina C-4
Cabo Rojo, PR 00623
Phone
(787) 851-5620
Fax
(787) 851-2365
NPI assigned
Feb 15, 2007
Last updated
Apr 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1933 PR Primary

Addresses

Primary practice location

Centro Profecional Borinquen
Oficina C-4
Cabo Rojo, PR 00623

Mailing address

Carr. 102 Centro Prof Borinquen
Ofic C-4
Cabo Rojo, PR 00623-0000
Phone (787) 851-5620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150724012267 PR Order and Referring Only - DentistPractitioner - Dentist 7719290402

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1933PRMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Apnea Dental Solutions of Puerto Rico PSC General Practice PastSince Nov 16, 2015 Accepting new patients
TMJ & Apnea Dental Solutions, P.a. General Practice PastSince Nov 15, 2015 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1225171200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARR. 102 CENTRO PROF BORINQUEN",
            "address_2": "OFIC C-4",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006230000",
            "telephone_number": "787-851-5620",
            "fax_number": "787-851-2365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO PROFECIONAL BORINQUEN",
            "address_2": "OFICINA C-4",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "00623",
            "telephone_number": "787-851-5620",
            "fax_number": "787-851-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "ROSA",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cabo Rojo, PR

Sources for this page

Verify at the official NPI Registry.