Individual provider Active NPI

Josefina M. Lopez-Garcia, M.D.

  • Pediatrics Physician
  • San Juan, PR
National Provider Identifier
1245253178
Registry record updated Dec 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
7561 Issued in PR
Practice address
618 Calle Austral
Altamira
San Juan, PR 00920-4239
Phone
(787) 409-5828
Fax
(787) 999-1723
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 7561 PR Primary

Addresses

Primary practice location

618 Calle Austral
Altamira
San Juan, PR 00920-4239

Mailing address

618 Calle Austral
Altamira
San Juan, PR 00920-4239
Phone (787) 409-5828

Other identifiers 1

IdentifierTypeStateIssuer
7561OtherPRMD 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
I20111004000391 PR Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 9537331160

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7561PRMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228089600000",
    "number": "1245253178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 CALLE AUSTRAL",
            "address_2": "ALTAMIRA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009204239",
            "telephone_number": "787-409-5828",
            "fax_number": "787-999-1723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 CALLE AUSTRAL",
            "address_2": "ALTAMIRA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009204239",
            "telephone_number": "787-409-5828",
            "fax_number": "787-999-1723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ-GARCIA",
        "first_name": "JOSEFINA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2008-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "7561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LICENSE",
            "identifier": "7561",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.