Individual provider Active NPI

Juan A Garcia, MD

  • Cardiovascular Disease Physician
  • Tampa, FL
National Provider Identifier
1477629004
Registry record updated Feb 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME39765 Issued in FL
Practice address
3000 Medical Park Dr Ste 300
Tampa, FL 33613-4696
Phone
(813) 497-9661
Fax
(813) 615-8468
NPI assigned
Nov 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X ME39765 FL
Cardiovascular Disease Physician 207RC0000X ME39765 FL Primary

Addresses

Primary practice location

3000 Medical Park Dr Ste 300
Tampa, FL 33613-4696

Mailing address

3000 Medical Park Dr Ste 300
Tampa, FL 33613-4696
Phone (813) 497-9661

Other practice location 1

13701 Bruce B Downs Blvd
Suite #101
Tampa, FL 33613-4647
Phone (813) 971-2600

Other identifiers 6

IdentifierTypeStateIssuer
060009579OtherFLRAILROAD MEDICARE
00656OtherFLUNIVERSAL
592998397COtherFLHUMANA
211526OtherFLAUMED
069495900MedicaidFL
4045526OtherFLAETNA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120221000740 FL Practitioner - Cardiovascular Disease (Cardiology) 7517125636 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME39765FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Florida Cardiovascular Co-Management Associates, LLC Cardiovascular Disease CurrentSince May 28, 2017 Accepting new patients
Florida Hospital Physician Group Inc CurrentSince Mar 11, 2019 Accepting new patients
Ekg Interpretations Cardiovascular Disease Past Accepting new patients
Tampa Heart & Vascular Associates LLC Cardiovascular Disease Past Accepting new patients

Locations

3000 Medical Park Dr
Ste 500
Tampa, FL 33613
Phone (813) 615-7028

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

3100 E Fletcher Ave
Tampa, FL 33613
Phone (813) 615-7200

3000 Medical Park Dr
Ste 300
Tampa, FL 33613
Phone (813) 497-9661

3000 Medical Park Dr
Ste 320
Tampa, FL 33613
Phone (813) 336-5766

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

Organizations & group practices 4

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": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1477629004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 MEDICAL PARK DR STE 300",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134696",
            "telephone_number": "813-497-9661",
            "fax_number": "813-615-8468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 MEDICAL PARK DR STE 300",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134696",
            "telephone_number": "813-497-9661",
            "fax_number": "813-615-8468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13701 Bruce B Downs Blvd",
            "address_2": "Suite #101",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336134647",
            "country_code": "US",
            "telephone_number": "813-971-2600",
            "fax_number": "813-979-1574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "JUAN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME39765",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME39765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060009579",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSAL",
            "identifier": "00656",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "592998397C",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUMED",
            "identifier": "211526",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "069495900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4045526",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.