Individual provider Active NPI

Ignacio L Pita Garcia, M.D.

  • Clinical Neurophysiology Physician
  • Guaynabo, PR
National Provider Identifier
1447286679
Registry record updated Jan 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
License
14434 Issued in PR
Practice address
101 Ave San Pactricio
Maramar Plaza Suite 1270
Guaynabo, PR 00968
Phone
(787) 751-2509
Fax
(787) 781-5307
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 14434 PR
Clinical Neurophysiology Physician 2084N0600X 14434 PR Primary

Addresses

Primary practice location

101 Ave San Pactricio
Maramar Plaza Suite 1270
Guaynabo, PR 00968

Mailing address

La Villa de Torrimar
Calle Rey Fransico 332
Guaynabo, PR 00969
Phone (787) 751-2509

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
I20060814000168 PR Practitioner - NeurologyPractitioner - Other (Physician) 5092718031 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Puerto Rico School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recinto de Ciencias MedicasGroup PAC ID 3678469962, 246 clinicians

Practice addresses (Care Compare)

101 Ave San Patricio
Guaynabo, PR 00968-2645
Phone (787) 751-2509

Ave Americo Miranda
Centro Comercia Reparto Metropolitano Suite
Rio Piedras, PR 00921
Phone (787) 758-7910

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14434PRMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas Current Accepting new patients
Recinto de Ciencias Medicas CurrentSince Dec 1, 2006 Accepting new patients
Medical Epilepsy Care PSC Clinical Neurophysiology CurrentSince Nov 18, 2009 Accepting new patients
Recinto de Ciencias Medicas Neurology CurrentSince Dec 1, 2006 Accepting new patients
Dorado Health Inc Past Accepting new patients
Medical Epilepcy Care PSC Clinical Neurophysiology Past Accepting new patients

Locations

101 Ave San Patricio
Ste 1270
Guaynabo, PR 00968
Phone (787) 221-7540

Interoperability endpoints

  • Direct secure messaging: ipitagarcia@1478.securemail.prognocis.com

Organizations & group practices 6

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485216000000",
    "number": "1447286679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LA VILLA DE TORRIMAR",
            "address_2": "CALLE REY FRANSICO 332",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-751-2509",
            "fax_number": "787-781-5307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 AVE SAN PACTRICIO",
            "address_2": "MARAMAR PLAZA SUITE 1270",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00968",
            "telephone_number": "787-751-2509",
            "fax_number": "787-781-5307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITA GARCIA",
        "first_name": "IGNACIO",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2017-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PR",
            "license": "14434",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "PR",
            "license": "14434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.