Active NPI
Adalis Garcia
- Dentist
- Yabucoa, PR
National Provider Identifier
1295864742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2592
- Practice address
- Calle Munoz Rivera # 53-a
Yabucoa, PR 00767 - Phone
- (787) 266-5337
- Fax
- (787) 266-5337
- NPI assigned
- Mar 2, 2007
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 2592 | PR | Primary |
Addresses
Primary practice location
Calle Munoz Rivera # 53-a
Yabucoa, PR 00767
Mailing address
PO Box 3406
Rio Grande, PR 00745-3308
Phone (787) 266-5337
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160524000739 | PR | Order and Referring Only - Oral Surgery | 7517256910 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2592 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295864742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3406",
"city": "RIO GRANDE",
"state": "PR",
"postal_code": "007453308",
"telephone_number": "787-266-5337",
"fax_number": "787-266-5337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE MUNOZ RIVERA # 53-A",
"city": "YABUCOA",
"state": "PR",
"postal_code": "00767",
"telephone_number": "787-266-5337",
"fax_number": "787-266-5337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "ADALIS",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PR",
"license": "2592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yabucoa, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.