Montega Family Medicine PA

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

MONTEGA FAMILY MEDICINE PA

Doing business as

Montega Medical

Practice address

151 College Dr Ste 3
Orange Park, FL 32065-7684

Phone

(904) 639-5013

Fax

(904) 639-5021

NPI assigned

May 20, 2021

Last updated

May 20, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rafael A Garcia, MDNPI 1801068135

Title

Owner

Phone

(904) 214-6719

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Montega Medical Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24031/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rafael A Garcia, MD

  • Family Medicine Physician
  • Orange Park, FL
  • NPI 1801068135
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621468800000",
    "number": "1306410634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2271 BIRDWOOD DR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735339",
            "telephone_number": "904-214-6719",
            "fax_number": "904-239-5021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 COLLEGE DR STE 3",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320657684",
            "telephone_number": "904-639-5013",
            "fax_number": "904-639-5021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTEGA FAMILY MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-214-6719",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009422900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montega Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mohamed Mohamed
• Mohammad Taj LLC
• Terri Lynn Molineaux, APRN
• Lewis Leonard Monroe, FNP-C, PMHNP-BC
• Lauren Kristine Montano, PA-C
• Martha Elisa Montero
• Abigail Nicole Moore, MS SLP-CF
• Christopher Moore, M.D.
• Helen S Moore, SPEECH PATHOLOGIST
• Jacob Scott Moore, DO

• Adult Medicine Physician in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Adult Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.