Juan M. Garcia MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

J9582 Issued in TX

Legal business name

JUAN M. GARCIA MD

Practice address

2395 La Palma Blvd
Suite H
San Benito, TX 78586-3319

Phone

(956) 428-3702

Fax

(956) 428-2352

NPI assigned

Apr 23, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Juan M Garcia, MD

Title

President/Physician

Phone

(956) 428-3702

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1598022998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2395 LA PALMA BLVD",
            "address_2": "SUITE H",
            "city": "SAN BENITO",
            "state": "TX",
            "postal_code": "785863319",
            "telephone_number": "956-428-3702",
            "fax_number": "956-428-2352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2395 LA PALMA BLVD",
            "address_2": "SUITE H",
            "city": "SAN BENITO",
            "state": "TX",
            "postal_code": "785863319",
            "telephone_number": "956-428-3702",
            "fax_number": "956-428-2352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN M. GARCIA MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-23",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "956-428-3702",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J9582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130868604",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.