Individual provider Active NPI

Rafael Federico Martin Garcia, MD

  • Dermatology Physician
  • San Juan, PR
National Provider Identifier
1942299375
Registry record updated Nov 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
10,707 Issued in PR
Practice address
1451 Ave Ashford
Suite 611
San Juan, PR 00907-1511
Phone
(787) 724-3407
Fax
(787) 977-7876
NPI assigned
Oct 18, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 10,707 PR Primary

Addresses

Primary practice location

1451 Ave Ashford
Suite 611
San Juan, PR 00907-1511

Mailing address

1451 Ave Ashford
Suite 611
San Juan, PR 00907-1511
Phone (787) 724-3407

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050524000989 PR Practitioner - Dermatology 5991747503 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Puerto Rico School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recinto de Ciencias MedicasGroup PAC ID 3678469962, 246 clinicians

Practice addresses (Care Compare)

Suite 200 Centro Comercial Reparto
Ave Americo Miranda
Rio Piedras, PR 00921
Phone (787) 758-7910

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions287
Removal of nail tissue1-10
Skin biopsy151

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10,707PRMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas Dermatology CurrentSince Aug 1, 2011 Accepting new patients
Recinto de Ciencias Medicas CurrentSince Aug 1, 2011 Accepting new patients
Recinto de Ciencias Medicas Past Accepting new patients

Organizations & group practices 3

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": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384992000000",
    "number": "1942299375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 AVE ASHFORD",
            "address_2": "SUITE 611",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071511",
            "telephone_number": "787-724-3407",
            "fax_number": "787-977-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 AVE ASHFORD",
            "address_2": "SUITE 611",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071511",
            "telephone_number": "787-724-3407",
            "fax_number": "787-977-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN GARCIA",
        "first_name": "RAFAEL",
        "middle_name": "FEDERICO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2013-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PR",
            "license": "10,707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.