Individual provider Active NPI

Lidia R Garib Garcia, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Fajardo, PR
National Provider Identifier
1699747691
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
8157 Issued in PR
Practice address
410 Ave General Valero Ste 408
Fajardo, PR 00738-3992
Phone
(787) 860-1300
Fax
(787) 863-8300
NPI assigned
Feb 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 8157 PR Primary

Addresses

Primary practice location

410 Ave General Valero Ste 408
Fajardo, PR 00738-3992

Mailing address

PO Box 1107
Fajardo, PR 00738-1107
Phone (787) 860-1300

Other identifiers 8

IdentifierTypeStateIssuer
7380006OtherPRHUMANA HEALTH
P00152916OtherPRPALMETTO GBA
2-8157OtherPRCIGNA
3481OtherPRFIRST MEDICAL
6605733612OtherPRVA ADMINISTRATION
2501791OtherPRA.C.A.A.
29459OtherPRS.S.S.
358239100OtherPRO.W.C.P.

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
I20050124000070 PR Practitioner - Physical Medicine and Rehabilitation 8022068535 Receives reassigned benefits from 1 practitioner
Practice locations: Fajardo, PR

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Puerto Rico School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

410 Ave General Valero
Suite 408
Fajardo, PR 00738-3992
Phone (787) 860-1300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8157PRMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lydia Garib Garcia CurrentSince Mar 7, 2017 Accepting new patients
Servicios Fisiatricos del Este, PSC Past Accepting new patients

Locations

410 Ave General Valero
Ste 408
Fajardo, PR 00738
Phone (787) 860-1300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 2

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": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1699747691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1107",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007381107",
            "telephone_number": "787-860-1300",
            "fax_number": "787-863-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 AVE GENERAL VALERO STE 408",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007383992",
            "telephone_number": "787-860-1300",
            "fax_number": "787-863-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARIB GARCIA",
        "first_name": "LIDIA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-03",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PR",
            "license": "8157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA HEALTH",
            "identifier": "7380006",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "P00152916",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2-8157",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST MEDICAL",
            "identifier": "3481",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA ADMINISTRATION",
            "identifier": "6605733612",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "A.C.A.A.",
            "identifier": "2501791",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "S.S.S.",
            "identifier": "29459",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "O.W.C.P.",
            "identifier": "358239100",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fajardo, PR

Sources for this page

Verify at the official NPI Registry.