Gerardo E Garcia, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME91360 Issued in FL

Practice address

4054 Beaver LN
Suite 1
Port Charlotte, FL 33952-9296

Phone

(941) 613-6850

Fax

(941) 613-6851

NPI assigned

Aug 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Gulf Coast Hma Physician Management LLC

  • Internal Medicine Physician
  • Venice, FL
  • NPI 1407806094

  Internal Medicine

  NPD (past)
• Tandem Health Care of Port Charlotte, Inc.

  • Skilled Nursing Facility
  • Port Charlotte, FL
  • NPI 1740220227
  NPD (past)

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477566966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28370 COCO PALM DR",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339821112",
            "telephone_number": "941-637-5833",
            "fax_number": "941-637-5833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4054 BEAVER LN",
            "address_2": "SUITE 1",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339529296",
            "telephone_number": "941-613-6850",
            "fax_number": "941-613-6851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "GERARDO",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME91360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "52223",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephani Garcia Abillud
• Yurien Garcia Torres
• Kristin A Garcia-Miller, APRN
• Elba Garcia-Plyman
• Carla K Garcia, FNP
• Jose M Garcia, MD
• Mercy Francisco Garcia, O.D.
• Omar Alberto Garcia
• Robert Bruce Garrett, MD
• John Garro, DO

• All providers in Port Charlotte, FL
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.