Individual provider Active NPI

Maria Del Carmen Perez-Garcia, MD

  • Family Medicine Physician
  • Palatka, FL
National Provider Identifier
1902808314
Registry record updated Mar 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME109778 Issued in FL
Practice address
1302 River St
Palatka, FL 32177-5042
Phone
(386) 328-8371
Fax
(386) 325-1086
NPI assigned
Aug 15, 2005
Last updated
Mar 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2020

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 ME109778 FL Primary

Addresses

Primary practice location

1302 River St
Palatka, FL 32177-5042

Mailing address

2001 County Road 210 W Ste 101
St Johns, FL 32259-2063
Phone (904) 450-8402

Other identifiers 1

IdentifierTypeStateIssuer
009933800MedicaidFL

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
I20131107001355 FL Practitioner - Family Practice 3375519226 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1987
Medicare assignment
May accept Medicare assignment
Group practices
St Vincent's Full Service Urgent Care, LLCGroup PAC ID 4183879364, 29 clinicians
St Vincent's Ambulatory Care IncGroup PAC ID 2860411188, 303 clinicians

Practice addresses (Care Compare)

10058 Baymeadows Rd
Suite B
Jacksonville, FL 32256-7177
Phone (904) 450-8020

10503 San Jose Blvd
Jacksonville, FL 32257-6295
Phone (904) 450-6700

1801 Barrs St
Suite 120
Jacksonville, FL 32204-4738
Phone (904) 308-2006

3 Shircliff Way
Suite 3300
Jacksonville, FL 32204-4757
Phone (904) 384-7370

7963 Normandy Blvd
Jacksonville, FL 32221-6640
Phone (904) 786-0440

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Solantic of Jacksonville, LLC Family Medicine CurrentSince Jan 1, 2021 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Jul 1, 2024 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Jul 1, 2024 Accepting new patients
St Vincent's Full Service Urgent Care, LLC CurrentSince Dec 1, 2017 Accepting new patients
Rural Health Care Incorporated CurrentSince Jul 6, 2015 Accepting new patients
Rural Health Care, Inc. CurrentSince Jul 6, 2015 Accepting new patients
Paragon Emergency Services LLC CurrentSince Jan 1, 2016 Accepting new patients
St Luke's Physician Group Inc Family Medicine Past Accepting new patients

Locations

2401 Monument Rd
Jacksonville, FL 32225
Phone (904) 642-0337

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

7963 Normandy Blvd
Jacksonville, FL 32221
Phone (904) 379-1203

100 Commercial Dr
Keystone Hgts, FL 32656
Phone (352) 473-6595

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

2140 Kingsley Ave
Orange Park, FL 32073
Phone (904) 213-0600

1302 River St
Palatka, FL 32177
Phone (386) 328-0108

70 Durbin Pavilion Dr
Ste 101
St Johns, FL 32259
Phone (904) 295-0038

463941 State Road 200
Yulee, FL 32097
Phone (904) 572-1959

Interoperability endpoints

  • Direct secure messaging: maria.perez-garcia.1@8967.direct.athenahealth.com
  • Direct secure messaging: maria.perez-garcia.2@8967.direct.athenahealth.com
  • Direct secure messaging: maria.perez-garcia.3@8967.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585440000000",
    "number": "1902808314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 COUNTY ROAD 210 W STE 101",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "322592063",
            "telephone_number": "904-450-8402",
            "fax_number": "904-450-8152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 RIVER ST",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321775042",
            "telephone_number": "386-328-8371",
            "fax_number": "386-325-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ-GARCIA",
        "first_name": "MARIA",
        "middle_name": "DEL CARMEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2020-03-29",
        "certification_date": "2020-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME109778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009933800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatka, FL

Sources for this page

Verify at the official NPI Registry.