Active NPI
Jose Luis Garcia, MD
- General Practice Physician
- Toa Baja, PR
National Provider Identifier
1447250089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 11108
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11108 | Other | PR | STATE MEDICAL LICENSE |
| 500359E | Other | PR | MEDICARE MUCHO MAS (MMM) |
| 9490016 | Other | PR | HUMANA INSURANCE |
| 201725 | Other | PR | PREFERRED HEALTH |
| 89154 | Other | PR | TRIPLE 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1980
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11108 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CDT Centro de Servicios Medicos Integrados, Inc. | Current | 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.
-
- Clinic/Center
- Bayamon, PR
- NPI 1942408067
-
- Clinical Medical Laboratory
- Bayamon, PR
- NPI 1487895314
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.