Individual provider Active NPI

Diana Fernandez Garcia, MD

  • Body Imaging Physician
  • Fajardo, PR
National Provider Identifier
1639162191
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
License
5767 Issued in PR
Practice address
316 Ave Gen Valero
Fajardo, PR 00738-4848
Phone
(787) 860-3400
Fax
(787) 863-2075
NPI assigned
Aug 30, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X 5767 PR Primary

Addresses

Primary practice location

316 Ave Gen Valero
Fajardo, PR 00738-4848

Mailing address

PO Box 490
Puerto Real, PR 00740-0490
Phone (787) 860-3400

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050426000111 PR Practitioner - Diagnostic Radiology 4082653530 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Puerto Rico School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

316 Ave General Valero
Fajardo, PR 00738-4848
Phone (787) 860-3400

Urbanizacion Villas de Rio Grande
B 30 Avenida Agustin Perez Andino
Rio Grande, PR 00745
Phone (787) 888-4545

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5767PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Pavia Healthcare Center CurrentSince Dec 13, 2015 Accepting new patients
Fajardo Imaging Inc CurrentSince Jun 11, 2011 Accepting new patients
Metro Pavia Healthcare Centers Inc CurrentSince Dec 13, 2015 Accepting new patients
Fajardo Imaging MRI CSP CurrentSince Jun 11, 2011 Accepting new patients
F&M Radiologist, CSP PastSince Jun 11, 2011 Accepting new patients

Locations

316 Ave General Valero
Fajardo, PR 00738
Phone (787) 860-3400

B30 Ave a Perez Andino
Rio Grande, PR 00745
Phone (787) 887-5944

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Caribbean Medical CenterFajardo, PR, CCN 400131 Hospital 5% Or Greater Indirect Ownership Interest (10.48%) Oct 6, 2000

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1639162191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490",
            "city": "PUERTO REAL",
            "state": "PR",
            "postal_code": "007400490",
            "telephone_number": "787-860-3400",
            "fax_number": "787-863-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 AVE GEN VALERO",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007384848",
            "telephone_number": "787-860-3400",
            "fax_number": "787-863-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ GARCIA",
        "first_name": "DIANA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-30",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "PR",
            "license": "5767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fajardo, PR

Sources for this page

Verify at the official NPI Registry.