Active NPI
Angela N Garcia, DMD
- Dentist
- San Juan, PR
National Provider Identifier
1730200403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2767
- Practice address
- Condominio Iberia1 Local C
Calle Perseo #554 Altamira
San Juan, PR 00920 - Phone
- (787) 781-7330
- NPI assigned
- Apr 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2767 | PR | Primary |
Addresses
Primary practice location
Condominio Iberia1 Local C
Calle Perseo #554 Altamira
San Juan, PR 00920
Mailing address
554 Calle Perseo Local C
Cond Iberia 1
San Juan, PR 00920
Phone (787) 781-7330
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150817000135 | PR | Order and Referring Only - Oral Surgery | 4082929385 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2767 | PR | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245110400000",
"number": "1730200403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "554 CALLE PERSEO LOCAL C",
"address_2": "COND IBERIA 1",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00920",
"telephone_number": "787-781-7330",
"fax_number": "787-782-7532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CONDOMINIO IBERIA1 LOCAL C",
"address_2": "CALLE PERSEO #554 ALTAMIRA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00920",
"telephone_number": "787-781-7330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "ANGELA",
"middle_name": "N",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-02",
"last_updated": "2009-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PR",
"license": "2767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.