Active NPI
Evamariely Garcia, M.D.
- General Practice Physician
- Patillas, PR
National Provider Identifier
1831485432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 18990
- Practice address
- Bo Jacaboa
C 758 KM 1.4
Patillas, PR 00723 - Phone
- (787) 510-2211
- NPI assigned
- Jun 22, 2011
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 18990 | PR | Primary |
Addresses
Primary practice location
Bo Jacaboa
C 758 KM 1.4
Patillas, PR 00723
Mailing address
PO Box 71325
Suite 310
San Juan, PR 00936
Phone (787) 510-2211
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150706001370 | PR | Practitioner - General Practice | 3577875590 | Practice locations: Arroyo, PR; Yabucoa, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18990 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428883200000",
"number": "1831485432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 71325",
"address_2": "SUITE 310",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00936",
"telephone_number": "787-510-2211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BO JACABOA",
"address_2": "C 758 KM 1.4",
"city": "PATILLAS",
"state": "PR",
"postal_code": "00723",
"telephone_number": "787-510-2211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "EVAMARIELY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-22",
"last_updated": "2015-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "18990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Patillas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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.