Individual provider Active NPI

Lizmary Garcia, DMD

  • General Practice Dentistry
  • Bayamon, PR
National Provider Identifier
1760548903
Registry record updated Oct 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
002750 Issued in PR
Practice address
Z-30 Ave. Laurel
Urb. Lomas Verdes
Bayamon, PR 00956
Phone
(787) 787-2384
NPI assigned
Dec 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 002750 PR Primary

Addresses

Primary practice location

Z-30 Ave. Laurel
Urb. Lomas Verdes
Bayamon, PR 00956

Mailing address

200 Calle Alcala #1702 B
College Park Apartments
San Juan, PR 00921-3910
Phone (787) 381-4905

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150806011073 PR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2961716790

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002750PRMDGeneral Practice Dentistry
2750PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
RM Dental Practice PSC Past Accepting new patients
Lomas Verdes Family Dental CSP General Practice Past Accepting new patients

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": "1167436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413504000000",
    "number": "1760548903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CALLE ALCALA #1702 B",
            "address_2": "COLLEGE PARK APARTMENTS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213910",
            "telephone_number": "787-381-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "Z-30 AVE. LAUREL",
            "address_2": "URB. LOMAS VERDES",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00956",
            "telephone_number": "787-787-2384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "LIZMARY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-30",
        "last_updated": "2014-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "002750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.