Active NPI
Myriam Isaura Garcia-Gonzalez, M.D.
- Internal Medicine Physician
- San Juan, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 19529
- Practice address
- Newport IV- Suite 202
San Juan, PR 00920 - Phone
- (787) 705-8832
- Fax
- (833) 798-4885
- NPI assigned
- Jul 14, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 19529 | PR | Primary |
Addresses
Primary practice location
Newport IV- Suite 202
San Juan, PR 00920
Mailing address
Urb Paraiso de Mayaguez
197 Serenidad Street
Mayaguez, PR 00680
Phone (787) 616-5534
Other practice location 1
410 Ave Hostos Ste 2
Mayaguez, PR 00682-1500
Phone (787) 652-9200 ext. 72675
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181228001458 | PR | Practitioner - Internal Medicine | 7517202120 | Practice locations: Mayaguez, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Ponce School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
410 Ave Hostos
Suite 103
Mayaguez, PR 00682-1560
Phone 787652920072423
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayaguez Medical Center Dr Ramon Emeterio Betances Inc | Past | Accepting new patients | |
| Karla F Velez-Medicina Interna CSP | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Mayaguez, PR
- NPI 1184033789
-
- General Acute Care Hospital
- Mayaguez, PR
- NPI 1013140383
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mayaguez, PR
- NPI 1013140383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707350400000",
"number": "1235546086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB PARAISO DE MAYAGUEZ",
"address_2": "197 SERENIDAD STREET",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "00680",
"telephone_number": "787-616-5534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NEWPORT IV- SUITE 202",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00920",
"telephone_number": "787-705-8832",
"fax_number": "833-798-4885"
}
],
"practiceLocations": [
{
"address_1": "410 Ave Hostos Ste 2",
"address_purpose": "LOCATION",
"city": "Mayaguez",
"state": "PR",
"postal_code": "006821500",
"country_code": "US",
"telephone_number": "787-652-9200 x72675",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARCIA-GONZALEZ",
"first_name": "MYRIAM",
"middle_name": "ISAURA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-14",
"last_updated": "2024-02-08",
"certification_date": "2024-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "19529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.