NPIMap

Individual provider Active NPI

Gaspar R Garcia, MD

  • Diagnostic Radiology Physician
  • Cayey, PR
National Provider Identifier
1679523138
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
13190 Issued in PR
Practice address
Bo Rincon Sect Las Lomas Carr 14 KM 72.2
Edificio Professional Hospital Menonita
Cayey, PR 00736
Phone
(787) 263-0644
Fax
(787) 535-1024
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 13190 PR Primary

Addresses

Primary practice location

Bo Rincon Sect Las Lomas Carr 14 KM 72.2
Edificio Professional Hospital Menonita
Cayey, PR 00736

Mailing address

1507 Ave Ponce de Leon
PMB 359
San Juan, PR 00909-1750
Phone (787) 263-0644

Other identifiers 1

IdentifierTypeStateIssuer
7360033MedicaidPR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061114000175 PR Practitioner - Diagnostic Radiology 3072511740 Reassigns benefits to 3 organizations
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Menonita Ponce, IncGroup PAC ID 1759753668, 4 clinicians
Hospital Menonita Guayama IncGroup PAC ID 6507127180, 8 clinicians
Mennonite General Hospital IncGroup PAC ID 6709843964, 47 clinicians

Practice addresses (Care Compare)

10 Calle
Suite 1
Ponce, PR 00730-2307
Phone (787) 434-1700

Ave Pedro Albizu Campos
Urb. la Hacienda
Guayama, PR 00785-8888
Phone (787) 434-1700

Calle Jose C Vazquez
Barrio Caonillas
Aibonito, PR 00705-1379
Phone (787) 434-1700

Hospital & facility affiliations

  • Hospital Menonita de Aibonito Hospital, Aibonito, PR, CCN 400018
  • Hospital Menonita Ponce Hospital, Ponce, PR, CCN 400113
  • Hospital Menonita Guayama Hospital, Guayama, PR, CCN 400048

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13190PRMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Menonita Ponce Inc Diagnostic Radiology CurrentSince Mar 7, 2023 Accepting new patients
Ashford Radiology PSC Diagnostic Radiology CurrentSince May 2, 2014 Accepting new patients
Mennonite General Hospital Inc CurrentSince Aug 1, 2007 Accepting new patients
Mennonite General Hospital Inc. CurrentSince Aug 1, 2007 Accepting new patients
Hospital Menonita de Cayey Past Accepting new patients
Hospital Menonita de Cayey Diagnostic Radiology Past Accepting new patients

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679523138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 AVE PONCE DE LEON",
            "address_2": "PMB 359",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009091750",
            "telephone_number": "787-263-0644",
            "fax_number": "785-535-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO RINCON SECT LAS LOMAS CARR 14 KM 72.2",
            "address_2": "EDIFICIO PROFESSIONAL HOSPITAL MENONITA",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "00736",
            "telephone_number": "787-263-0644",
            "fax_number": "787-535-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "GASPAR",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "13190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7360033",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cayey, PR

Sources for this page

Verify at the official NPI Registry.