Individual provider Active NPI

Jose Luis Garcia, MD

  • General Practice Physician
  • Toa Baja, PR
National Provider Identifier
1447250089
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
11108 Issued in PR
Practice address
1C 13 Don Pelayo Ave.
Toa Baja, PR 00949
Phone
(787) 740-4994
Fax
(787) 251-0539
NPI assigned
Jul 26, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 11108 PR Primary

Addresses

Primary practice location

1C 13 Don Pelayo Ave.
Toa Baja, PR 00949

Mailing address

PO Box 607071
PMB 125
Bayamon, PR 00960-7071
Phone (787) 740-4994

Other identifiers 5

IdentifierTypeStateIssuer
11108OtherPRSTATE MEDICAL LICENSE
500359EOtherPRMEDICARE MUCHO MAS (MMM)
9490016OtherPRHUMANA INSURANCE
201725OtherPRPREFERRED HEALTH
89154OtherPRTRIPLE S INSURANCE

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
I20070201000402 PR Practitioner - General Practice 8628070893 Reassigns benefits to 1 organization
Practice locations: Toa Baja, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1980
Medicare assignment
May accept Medicare assignment
Group practices
CDT Centro de Servicios Medicos Integrados IncGroup PAC ID 5092996652, 5 clinicians

Practice addresses (Care Compare)

Calle Santa Cruz
59 Piso 4
Bayamon, PR 00961
Phone 78777821004306

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11108PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CDT Centro de Servicios Medicos Integrados, Inc. CurrentSince Mar 28, 2016 Accepting new patients
CDT Centro de Servicios Medicos Integrados Inc. Current Accepting new patients

Locations

59 Calle Santa Cruz
Bayamon, PR 00961
Phone (787) 778-2100

Organizations & group practices 2

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": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208131200000",
    "number": "1447250089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 607071",
            "address_2": "PMB 125",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009607071",
            "telephone_number": "787-740-4994",
            "fax_number": "787-251-0539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1C 13 DON PELAYO AVE.",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "787-740-4994",
            "fax_number": "787-251-0539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "JOSE",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2008-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "11108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "11108",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE MUCHO MAS (MMM)",
            "identifier": "500359E",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA INSURANCE",
            "identifier": "9490016",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH",
            "identifier": "201725",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S INSURANCE",
            "identifier": "89154",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Baja, PR

Sources for this page

Verify at the official NPI Registry.