Individual provider Active NPI

Yazmin Lizzette Garcia, M.D.

  • Pediatrics Physician
  • San Juan, PR
National Provider Identifier
1336100668
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
12216 Issued in PR
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

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
12216PRMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.