Individual provider Active NPI

Maria E Garcia-Cardona, M.D.

  • Dermatology Physician
  • Clearwater, FL
National Provider Identifier
1982895298
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME11159 Issued in FL
Practice address
26344 US Highway 19 N
Clearwater, FL 33761-4505
Phone
(727) 669-3676
Fax
(727) 669-3669
NPI assigned
Aug 5, 2007
Last updated
Jul 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 16907 PR
Dermatology Physician 207N00000X ME11159 FL Primary

Addresses

Primary practice location

26344 US Highway 19 N
Clearwater, FL 33761-4505

Mailing address

1801 N Belcher Rd
Suite B
Clearwater, FL 33765-1452
Phone (727) 669-3676

Other identifiers 1

IdentifierTypeStateIssuer
006447500MedicaidFL

Other names 1

  • Maria E. Garcia Former name

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
I20120503000023 FL Practitioner - Dermatology 7911079579 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Puerto Rico School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1801 N Belcher Rd
Suite B
Clearwater, FL 33765-1452
Phone (727) 669-3676

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision20
Removal of skin lesions671
Skin biopsy118

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Leavitt Medical Associates of Florida Inc Dermatology CurrentSince Nov 26, 2012 Accepting new patients
Leavitt Medical Associates of Florida Inc Dermatology CurrentSince Nov 26, 2012 Accepting new patients
Recinto de Ciencias Medicas Past Accepting new patients
Family Dermatology of Pennsylvania, PC Dermatology Past Accepting new patients

Locations

1801 N Belcher Rd
Ste B
Clearwater, FL 33765
Phone (727) 669-3676

26344 US Highway 19 N
Clearwater, FL 33761
Phone (727) 669-3676

8250 Bryan Dairy Rd
Ste 250
Largo, FL 33777
Phone (727) 393-5300

151 Southhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 917-7293

1410 W Broadway St
Ste 205
Oviedo, FL 32765
Phone (407) 359-2100

4132 Woodlands Pkwy
Palm Harbor, FL 34685
Phone (727) 786-5100

1503 Buenos Aires Blvd
Ste 100
The Villages, FL 32159
Phone (352) 753-2812

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1982895298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 N BELCHER RD",
            "address_2": "SUITE B",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651452",
            "telephone_number": "727-669-3676",
            "fax_number": "727-669-3676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26344 US HIGHWAY 19 N",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337614505",
            "telephone_number": "727-669-3676",
            "fax_number": "727-669-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA-CARDONA",
        "first_name": "MARIA",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PR",
            "license": "16907",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME11159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006447500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "GARCIA",
            "middle_name": "E.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.