Individual provider Active NPI

Miguel A Eliza Garcia, 5396

  • Anesthesiology Physician
  • Rio Piedras, PR
National Provider Identifier
1699738104
Registry record updated Jun 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
05396 Issued in PR
Practice address
Ave de Diego
371
Rio Piedras, PR 00918
Phone
(787) 767-0102
Fax
(787) 767-1899
NPI assigned
Apr 7, 2006
Last updated
Jun 8, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 05396 PR Primary

Addresses

Primary practice location

Ave de Diego
371
Rio Piedras, PR 00918

Mailing address

14 Carr 833
Cima de Torrimar 1404
Guaynabo, PR 00969-7401
Phone (787) 767-0102

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
I20080402000795 PR Practitioner - Anesthesiology 7810074747 Reassigns benefits to 2 organizations
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1977
Medicare assignment
May accept Medicare assignment
Group practices
Puerto Rico Women and Children S Hospital LLCGroup PAC ID 3476955329, 2 clinicians
Bayamon Medical Center CorpGroup PAC ID 7113016494, 3 clinicians

Practice addresses (Care Compare)

Carr 2 KM
Bayamon, PR 00959
Phone 7874748282458849

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5396PRMDPsychologist
05396PRMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Puerto Rico Women and Children S Hospital LLC CurrentSince Feb 11, 2024 Accepting new patients
Bayamon Medical Center Corp Anesthesiology CurrentSince Feb 11, 2024 Accepting new patients
MG Anesthesia and Pain Management Services P.S.C. Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433721600000",
    "number": "1699738104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CARR 833",
            "address_2": "CIMA DE TORRIMAR 1404",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009697401",
            "telephone_number": "787-767-0102",
            "fax_number": "787-767-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE DE DIEGO",
            "address_2": "371",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-767-0102",
            "fax_number": "787-767-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIZA GARCIA",
        "first_name": "MIGUEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "5396",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2015-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PR",
            "license": "05396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Piedras, PR

Sources for this page

Verify at the official NPI Registry.