Roberto Eloy Garcia, MD

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

License

ME86699 Issued in FL

Practice address

230 A1A N
Ponte Vedra Beach, FL 32082-1709

Phone

(904) 686-8020

Fax

(904) 834-2592

NPI assigned

Oct 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• J Felipe Garcia MD PA

  • Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
  • Neptune Beach, FL
  • NPI 1568683449
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1669552626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 A1A N",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320821709",
            "telephone_number": "904-686-8020",
            "fax_number": "904-834-2592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 A1A N",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320821709",
            "telephone_number": "904-686-8020",
            "fax_number": "904-834-2592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "ROBERTO",
        "middle_name": "ELOY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "FL",
            "license": "ME86699",
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "FL",
            "license": "ME86699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "U6245Y",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Galloway
• Susan Gambardella
• Gregory Lee Garamoni, PHD
• Garcia Aesthetic & Wellness Center Inc
• Garcia Institute Ponte Vedra LLC
• GBC Mental Health & Wellness LLC
• Cynthia Geddes, LCSW
• Genetics and Metabolism LLC
• Sarah J Georges, DMD
• Ammara Ghafoor, BDS

• Facial Plastic Surgery Physician in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, FL by specialty
• Facial Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.