Active NPI
Modesto Garcia, D.M.D.
- Prosthodontics
- Carolina, PR
National Provider Identifier
1518015528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 589
- Practice address
- Calle 11 Bloque 33 No 4
Urb Villa Carolina
Carolina, PR 00985 - Phone
- (787) 768-7216
- NPI assigned
- Jan 8, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 589 | PR | Primary |
Addresses
Primary practice location
Calle 11 Bloque 33 No 4
Urb Villa Carolina
Carolina, PR 00985
Mailing address
Urb Garcia
24 Calle C
San Juan, PR 00926-5135
Phone (787) 790-3391
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1518015528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB GARCIA",
"address_2": "24 CALLE C",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009265135",
"telephone_number": "787-790-3391",
"fax_number": "787-790-3391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE 11 BLOQUE 33 NO 4",
"address_2": "URB VILLA CAROLINA",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00985",
"telephone_number": "787-768-7216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "MODESTO",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "PR",
"license": "589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carolina, PR
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.