Individual provider Active NPI

Noemi Laureano-Garcia, M.D.

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1235348103
Registry record updated Feb 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
11284 Issued in PR
Practice address
1714 Calle Parana
San Juan, PR 00926-3148
Phone
(787) 371-6413
Fax
(939) 633-6653
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 11284 PR Primary

Addresses

Primary practice location

1714 Calle Parana
San Juan, PR 00926-3148

Mailing address

270 Ave San Ignacio Apt 12509
Guaynabo, PR 00969-8037
Phone (939) 285-9727

Other identifiers 1

IdentifierTypeStateIssuer
11284OtherPRSTATE LICENSE

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170531000948 PR Practitioner - General Practice 0547537227 Practice locations: Guaynabo, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11284PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739059200000",
    "number": "1235348103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 AVE SAN IGNACIO APT 12509",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009698037",
            "telephone_number": "939-285-9727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 CALLE PARANA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009263148",
            "telephone_number": "787-371-6413",
            "fax_number": "939-633-6653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUREANO-GARCIA",
        "first_name": "NOEMI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2025-02-09",
        "certification_date": "2025-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "11284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "11284",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.