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DR. MARIO ESPINOSA GARCIA MD
NPI 1083653141
Internal Medicine - Pulmonary Disease in Bayamon, PR

Active since June 05, 2006PECOS EnrolledAccepts Medicare Assignment
66 CALLE SANTA CRUZ, SUITE 404 INSTITUTO SAN PABLO, BAYAMON, PR 00961(787) 449-4486 Get Directions Write a Review

NPPES record last updated: November 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mario Espinosa Garcia Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARIO ESPINOSA GARCIA MD (NPI 1083653141) is an individual pulmonary disease provider in Bayamon, Puerto Rico, licensed in Puerto Rico (5005) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1975).

NPPES Registry Identity

NPI1083653141
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. MARIO ESPINOSA GARCIACredential: MD
Location Address66 CALLE SANTA CRUZ, SUITE 404 INSTITUTO SAN PABLOBayamon, PR 00961-7041
Mailing Address66 Calle Santa Cruz, Suite 404 Instituto San PabloBayamon, PR 00961-7041
Phone(787) 449-4486
Sole ProprietorYes
Medical School CMSOtherGraduated 1975
Enumeration DateJune 5, 2006
Last NPPES UpdateNovember 3, 2022
NPPES CertifiedNovember 3, 2022
✔ NPI 1083653141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in PR · 5005
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mario Espinosa Garcia Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577724939
PECOS Enrollment IDI20120411000344
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
73 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00961 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.65 typical visit price
range $56.86 – $172.44
Typical copayment $32.66 (range $14.21 – $43.11)
Most-billed visit code 99204
Established Patient
$100.24 typical visit price
range $18.24 – $140.44
Typical copayment $25.06 (range $4.56 – $35.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 15

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
2 suppliers14 claims27 services$2.20 avg. paid by Medicare
Small volume nonfiltered pneumatic nebulizer, disposable A7004
DME-Other DME · category DE000N
1 supplier13 claims26 services$1.16 avg. paid by Medicare
Aerosol mask, used with dme nebulizer A7015
DME-Other DME · category DE000N
1 supplier13 claims13 services$1.68 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers13 claims13 services$134.47 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
2 suppliers19 claims19 services$79.61 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
3 suppliers22 claims22 services$24.16 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BAYAMON ONCOLOGY MEDICAL CSP
Clinic/Center (Oncology)
66 CALLE SANTA CRUZ, INST. SAN PABLO SUITE 509
BAYAMON, PR 00961
Bayamón Municipio (787) 269-4740
MR. RENE E PEREZ RIOS MD
Internal Medicine (Cardiovascular Disease)
66 CALLE SANTA CRUZ, INST SAN PABLO OFIC 202
BAYAMON, PR 00961
Bayamón Municipio (787) 798-6550
DR. ENRIQUE FRANCISCO BOSCH-GONSALVEZ M.D.
Pediatrics
66 CALLE SANTA CRUZ, INST. SAN PABLO SUITE 410
BAYAMON, PR 00961
Bayamón Municipio (787) 786-9008
ROGER POLISH P.S.C.
Clinic/Center (Medical Specialty)
66 CALLE SANTA CRUZ, INSTITUTO SAN PABLO, SUITE 502
BAYAMON, PR 00961
Bayamón Municipio (787) 778-0632
GRUPO FISIATRICO DE BAYAMON PTR
Physical Medicine & Rehabilitation
66 CALLE SANTA CRUZ, INSTITUTO SAN PABLO SUITE 301
BAYAMON, PR 00961
Bayamón Municipio (787) 740-2270
JUDY FERNANDEZ-GALLARDO M.D.
Psychiatry & Neurology (Psychiatry)
66 CALLE SANTA CRUZ, SUITE 508 INSTITUTO SAN PABLO
BAYAMON, PR 00961
Bayamón Municipio (787) 269-0059
LILLIAN MILAGROS DIAZ M.A., CCC-SLP
Speech-Language Pathologist
66 CALLE SANTA CRUZ, INSTITUTO SAN PABLO STE. 407
BAYAMON, PR 00961
Bayamón Municipio (787) 461-8455
BIOGYN OBSTETRICS CSP
Specialist
66 CALLE SANTA CRUZ, SUITE 310, INSTITUTO SAN PABLO
BAYAMON, PR 00961
Bayamón Municipio (787) 740-5602

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mario Espinosa Garcia's NPI number?

The NPI number for Mario Espinosa Garcia is 1083653141. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is Mario Espinosa Garcia located?

Mario Espinosa Garcia practices at 66 Calle Santa Cruz Suite 404 Instituto San Pablo, Bayamon, PR 00961. The listed phone number is (787) 449-4486.

What is Mario Espinosa Garcia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Mario Espinosa Garcia enrolled in Medicare?

Yes. Mario Espinosa Garcia is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mario Espinosa Garcia was last updated on November 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.