Individual provider Active NPI

Rafael A Garcia, MD

  • Family Medicine Physician
  • Orange Park, FL
National Provider Identifier
1801068135
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME105065 Issued in FL
Practice address
151 College Dr Ste 3
Orange Park, FL 32065-7684
Phone
(904) 214-6719
Fax
(904) 639-5021
NPI assigned
Mar 27, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME105065 FL Primary

Addresses

Primary practice location

151 College Dr Ste 3
Orange Park, FL 32065-7684

Mailing address

2271 Birdwood Dr
Orange Park, FL 32073-5339
Phone (786) 972-6710

Other identifiers 1

IdentifierTypeStateIssuer
009422900MedicaidFL

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL www.montegamedical.com
Direct Messaging Address montegamedical.connect@montegamedical.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20101220001139 FL Practitioner - Family Practice 7517155377 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

151 College Dr
Suite 3
Orange Park, FL 32065-7684
Phone 9042146719100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME105065FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincents Ambulatory Care Inc CurrentSince Jul 1, 2016 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Jul 30, 2018 Accepting new patients
Montega Family Medicine PA CurrentSince Jul 6, 2021 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Jul 30, 2018 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Jul 1, 2016 Accepting new patients
Metcare of Florida, Inc Past Accepting new patients
Azur Medical Center Co. Family Medicine PastSince Oct 24, 2012 Accepting new patients

Locations

3059 Edgewood Ave W
Jacksonville, FL 32209
Phone (904) 647-3180

206 N Florida Ave
Lakeland, FL 33801
Phone (863) 209-7003

4715 S Florida Ave
Lakeland, FL 33813
Phone (863) 209-7003

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

151 College Dr
Ste 3
Orange Park, FL 32065
Phone (904) 214-6719

2300 Park Ave
Ste 205
Orange Park, FL 32073
Phone (904) 272-0384

Interoperability endpoints

  • Direct secure messaging: rafael.garcia.1@24031.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24031/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1801068135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2271 BIRDWOOD DR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735339",
            "telephone_number": "786-972-6710",
            "fax_number": "904-639-5021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 COLLEGE DR STE 3",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320657684",
            "telephone_number": "904-214-6719",
            "fax_number": "904-639-5021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "RAFAEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-27",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME105065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009422900",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.montegamedical.com",
            "affiliation": "N",
            "address_1": "151 College Dr Ste 3",
            "city": "Orange Park",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320657684",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "montegamedical.connect@montegamedical.com",
            "affiliation": "N",
            "endpointDescription": "company email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "151 College Dr Ste 3",
            "city": "Orange Park",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320657684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.