Individual provider Active NPI

Nydia Garcia, MD

  • General Practice Physician
  • Juana Diaz, PR
National Provider Identifier
1437709227
Registry record updated Sep 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
21400 Issued in PR
Practice address
Guayabal Professional Building
Suite 2001
Juana Diaz, PR 00795
Phone
(787) 247-4124
NPI assigned
Sep 13, 2019
Last updated
Sep 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 21400 PR Primary

Addresses

Primary practice location

Guayabal Professional Building
Suite 2001
Juana Diaz, PR 00795

Mailing address

PO Box 218
Juana Diaz, PR 00795-0218
Phone (787) 247-4124

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
I20200611001789 PR Practitioner - General Practice 3971925363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Med Centro IncGroup PAC ID 5890692131, 62 clinicians

Practice addresses (Care Compare)

1034 Ave Hostos
Ponce, PR 00716-1115
Phone 78784393931025

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Med Centro, Inc. Single Specialty Current Accepting new patients
Med Centro, Inc. CurrentSince May 19, 2020 Accepting new patients
Med Centro, Inc. CurrentSince May 19, 2020 Accepting new patients

Locations

1034 Ave Hostos
Ponce, PR 00716
Phone (787) 242-2279

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568332800000",
    "number": "1437709227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 218",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007950218",
            "telephone_number": "787-247-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GUAYABAL PROFESSIONAL BUILDING",
            "address_2": "SUITE 2001",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "00795",
            "telephone_number": "787-247-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "NYDIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-13",
        "last_updated": "2019-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "PR",
            "license": "21400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juana Diaz, PR

Sources for this page

Verify at the official NPI Registry.