Organization Active NPI

Jose a Garcia Vicario MD CSP

  • Specialist
  • Ponce, PR
National Provider Identifier
1750587762
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4977 Issued in PR
Legal business name
JOSE A GARCIA VICARIO MD CSP
Practice address
Condominio Concordia 8129 Calle Concordia
Suite 201
Ponce, PR 00717-1550
Phone
(787) 844-4170
Fax
(787) 844-4170
NPI assigned
Jun 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jose A Garcia, MD
Title
Presidente
Phone
(787) 844-4170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 4977 PR Primary

Addresses

Primary practice location

Condominio Concordia 8129 Calle Concordia
Suite 201
Ponce, PR 00717-1550

Mailing address

Condominio Concordia 8129 Calle Concordia
Suite 201
Ponce, PR 00717-1550
Phone (787) 844-4170

National Provider Directory

National Provider Directory

Locations

8129 Calle Concordia
Ste 201
Ponce, PR 00717
Phone (787) 844-4170

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750587762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CONDOMINIO CONCORDIA 8129 CALLE CONCORDIA",
            "address_2": "SUITE 201",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171550",
            "telephone_number": "787-844-4170",
            "fax_number": "787-844-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CONDOMINIO CONCORDIA 8129 CALLE CONCORDIA",
            "address_2": "SUITE 201",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171550",
            "telephone_number": "787-844-4170",
            "fax_number": "787-844-4170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE A GARCIA VICARIO MD CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-844-4170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PR",
            "license": "4977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

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