Individual provider Active NPI

Beatriz Milagros Garcia, DMD

  • Dentist
  • Corozal, PR
National Provider Identifier
1609258797
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3219 Issued in PR
Practice address
Carr 159 Oritz Medical Plaza
Suite 2
Corozal, PR 00783
Phone
(787) 600-6953
NPI assigned
Jun 24, 2015
Last updated
May 3, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3219 PR Primary

Addresses

Primary practice location

Carr 159 Oritz Medical Plaza
Suite 2
Corozal, PR 00783

Mailing address

1299 Calle W Bosch
Condominio Terrazas de San Juan Apt 1301
San Juan, PR 00924-4402
Phone (787) 600-6953

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161219002587 PR Order and Referring Only - DentistPractitioner - Dentist 3173802964

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3219PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462233600000",
    "number": "1609258797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1299 CALLE W BOSCH",
            "address_2": "CONDOMINIO TERRAZAS DE SAN JUAN APT 1301",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009244402",
            "telephone_number": "787-600-6953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 159 ORITZ MEDICAL PLAZA",
            "address_2": "SUITE 2",
            "city": "COROZAL",
            "state": "PR",
            "postal_code": "00783",
            "telephone_number": "787-600-6953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "BEATRIZ",
        "middle_name": "MILAGROS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-24",
        "last_updated": "2016-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "3219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corozal, PR

Sources for this page

Verify at the official NPI Registry.