Individual provider Active NPI

Heidy Lyz Garcia

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1285251595
Registry record updated Jul 28, 2021
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Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
22409 Issued in PR
Practice address
Centro Medico de Puerto Rico
Barrios Monacillos
San Juan, PR 00903-0001
Phone
(787) 903-2075
NPI assigned
Jul 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 15358-I PR
General Practice Physician 208D00000X 22409 PR Primary

Addresses

Primary practice location

Centro Medico de Puerto Rico
Barrios Monacillos
San Juan, PR 00903-0001

Mailing address

1485 Avenida Ashford
Torre Norte, Apt 12-a
San Juan, PR 00907
Phone (787) 903-2075

Other practice location 1

Carr 22 Barrio Monacillos Hospital Oncologico
San Juan, PR 00935-0001
Phone (787) 903-2075

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
I20230724001951 PR Practitioner - General Practice 9830559764 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15358-IPRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrix Medical Group of Puerto Rico, P.S.C CurrentSince May 22, 2024 Accepting new patients
Administracion de Servicios Medicos de Puerto Rico 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1285251595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 AVENIDA ASHFORD",
            "address_2": "TORRE NORTE, APT 12-A",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00907",
            "telephone_number": "787-903-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO MEDICO DE PUERTO RICO",
            "address_2": "BARRIOS MONACILLOS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009030001",
            "telephone_number": "787-903-2075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Carr 22 Barrio Monacillos Hospital Oncologico",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009350001",
            "country_code": "US",
            "telephone_number": "787-903-2075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "HEIDY",
        "middle_name": "LYZ",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-02",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15358-I",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.