Individual provider Active NPI

Lyd-Marie Rodriguez-Garcia, MD

  • Internal Medicine Physician
  • San Juan, PR
National Provider Identifier
1245766492
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
22238 Issued in PR
Practice address
Asem Centro Medico Barrio Monacillos
San Juan, PR 00935-0001
Phone
(787) 777-3535
NPI assigned
May 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 22238 PR Primary

Addresses

Primary practice location

Asem Centro Medico Barrio Monacillos
San Juan, PR 00935-0001

Mailing address

DD24 Calle Montanas
Bayamon, PR 00961-3301
Phone (787) 504-9879

Other practice location 1

1395 Calle San Rafael
San Juan, PR 00909-2518
Phone (787) 999-7620

Other practice location 2

1431 SW 1st Ave Ste 7
Ocala, FL 34471-6500
Phone (352) 401-8311

Other practice location 3

Jesus T Pinero Building Fernandez Juncos Ave
Bo Pueblo
Carolina, PR 00979
Phone (787) 626-3322

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
I20210903002184 PR Practitioner - Internal Medicine 1355747064 Reassigns benefits to 1 organization
Practice locations: Carolina, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22238PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Administracion de Servicios Medicos de Puerto Rico CurrentSince Nov 23, 2022 Accepting new patients
Interventional Solutions PSC Past Accepting new patients
CCS PSC Internal Medicine Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1245766492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DD24 CALLE MONTANAS",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009613301",
            "telephone_number": "787-504-9879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ASEM CENTRO MEDICO BARRIO MONACILLOS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009350001",
            "telephone_number": "787-777-3535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1395 Calle San Rafael",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009092518",
            "country_code": "US",
            "telephone_number": "787-999-7620",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1431 SW 1st Ave Ste 7",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344716500",
            "country_code": "US",
            "telephone_number": "352-401-8311",
            "fax_number": "352-401-8313",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Jesus T Pinero Building Fernandez Juncos Ave",
            "address_2": "Bo Pueblo",
            "address_purpose": "LOCATION",
            "city": "Carolina",
            "state": "PR",
            "postal_code": "00979",
            "country_code": "US",
            "telephone_number": "787-626-3322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ-GARCIA",
        "first_name": "LYD-MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-10",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "22238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.