Active NPI
Yazmin Lizzette Garcia, M.D.
- Pediatrics Physician
- San Juan, PR
National Provider Identifier
1336100668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 12216
- Practice address
- 252 Calle San Jorge
Suite 406
San Juan, PR 00912-3310 - Phone
- (787) 726-0210
- NPI assigned
- Mar 28, 2006
- Reactivated
- Mar 5, 2024
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 12216 | PR | Primary |
Addresses
Primary practice location
252 Calle San Jorge
Suite 406
San Juan, PR 00912-3310
Mailing address
500 Blvd. del Rio
Apt. 1801
Humacao, PR 00791-4501
Phone (787) 580-5916
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12216 | PR | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grupo Intensivo Pediatrico de San Juan | Pediatric Critical Care Medicine | Past | Accepting new patients |
| The San Jorge Hospital Inc | Past | Accepting new patients | |
| San Francisco Health System Inc | 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.
-
- Pediatric Critical Care Medicine Physician
- San Juan, PR
- NPI 1477537892
Pediatric Critical Care Medicine
-
- General Acute Care Hospital
- San Juan, PR
- NPI 1598798811
-
- General Acute Care Hospital
- San Juan, PR
- NPI 1538917877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1336100668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 BLVD. DEL RIO",
"address_2": "APT. 1801",
"city": "HUMACAO",
"state": "PR",
"postal_code": "007914501",
"telephone_number": "787-580-5916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "252 CALLE SAN JORGE",
"address_2": "SUITE 406",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009123310",
"telephone_number": "787-726-0210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "YAZMIN",
"middle_name": "LIZZETTE",
"name_prefix": "Miss",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-28",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"deactivation_date": "2024-01-17",
"reactivation_date": "2024-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "12216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.