FAJARDO MEDICAL PRACTICE (NPI# 1912023763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912023763 |
| Entity Type | Organization |
| Organization Name | FAJARDO MEDICAL PRACTICE |
| Practice Address |
I23 Calle Principal Urb. Baralt Fajardo PR 00738-3772 |
| Mailing Address |
Po Box 827 Fajardo PR 00738-0827 |
| Practice Telephone | 7878637646 |
| Practice Fax Number | 7878607357 |
| Mailing Telephone | 7878637646 |
| Mailing Fax Number | 7878607357 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. AGAPITO FONTANEZ NIEVES (PRESIDENT) |
| Authorized Official Telephone | 7878637646 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207R00000X | Internal Medicine | PR | Allopathic & Osteopathic Physicians | |
| X | 208000000X | Pediatrics | PR | Allopathic & Osteopathic Physicians | |
| X | 208D00000X | General Practice | PR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134319320 | Fajardo Medical Practice | General Practice | I23 Calle Principal, Urb Baralt, Fajardo, PR 00738-3772 | 2007-07-25 |
| Street Address |
I23 CALLE PRINCIPAL URB. BARALT |
| City | FAJARDO |
| State | PR |
| Zip Code | 00738-3772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134319320 | Fajardo Medical Practice | General Practice | I23 Calle Principal, Urb Baralt, Fajardo, PR 00738-3772 | 2007-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457979015 | Angerosa Tu Salud Inc | Registered Nurse | 1-101 Paseo Esmeralda Fajardo Calle 21, 1-101 Paseo Esmeralda Calle 21, Fajardo, PR 00738 | 2020-07-10 |
| 1235756339 | Integrate Community Health System | Clinic/Center | Carr # 3, Km 43.8, Bo. Quebrada Fajardo, Fajardo, PR 00738 | 2020-07-06 |
| 1942826110 | Nancy Queren Velazquez I | Registered Nurse | 1-101 Paseo Esmeralda Calle 21, Fajardo, PR 00738 | 2020-06-23 |
| 1518580943 | My Optical Factory LLC | Optometrist | #61 Calle Garrido Morales W, Fajardo, PR 00738 | 2020-05-20 |
| 1992335830 | Jm Albulance | Ambulance | 157 Calle Celis Aguilera, Fajardo, PR 00738 | 2020-01-20 |
| 1376180885 | Wilma Enid Figueroa | Social Worker | Calle F # 86, Monte Mar, Fajardo, PR 00738 | 2019-12-03 |
| 1144879768 | Danny Josue Mendez Gomez | Chiropractor | Centro Quiropractico De Puerto Rico, Fajardo Market Square, Carr 3 Km 45.4, Fajardo, PR 00738 | 2019-09-06 |
| 1316595804 | Ceiba Medical Services Inc | Family Medicine | 195 Ave Lauro Inero, Ceiba, PR 00738 | 2019-08-28 |
| 1841847142 | Ecb Humacao LLC | Optometrist | Centro Comercial Plaza Fajardo Local 125 Carr 3 Km 43.3, Barrio Quebrada Abajo, Fajardo, PR 00738 | 2019-08-21 |
| 1134785017 | Genesis Medical Supply and Medical Equipment | Durable Medical Equipment & Medical Supplies | G10 Avenida Principal Suite 2, Urb Baralt, Fajardo, PR 00738 | 2019-05-15 |
| Find all providers in zip 00738 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366739765 | Muerk Internal Medicine Group | Internal Medicine | Fajardo Medical Plaza, Suite 108 Calle Union Esq Celix Aguilara #10, Fajardo, PR 00738 | 2011-07-06 |
| 1407001829 | Servicios Medicos Integrados De Fajardo, P.s.c. | Internal Medicine | I24 Calle Principal, Urb Baralt, Fajardo, PR 00738-3772 | 2008-11-26 |
| 1295938371 | Noelia Rodriguez-perez | Internal Medicine | Ave. Conquistador Edificio Conquistador Plaza, Suite#3, Fajardo, PR 00738 | 2007-06-07 |
| 1336342575 | Jesus Manuel Villafane | Internal Medicine | Pena Mar Ocean Club, Apt. 110, Fajardo, PR 00738 | 2007-06-06 |
| 1508980236 | Luis R Ordonez | Internal Medicine | 302 General Valero Ave, Fajardo, PR 00738 | 2007-03-19 |
| 1255403010 | Carlos Agapito Fontanez | Internal Medicine | Ave Osvaldo Molina #151, Suite 103, Fajardo, PR 00738-3614 | 2006-11-15 |
| 1811076813 | Ramon Antonio Pastrana Maldonado | Internal Medicine | Calle Union Num 10 Este, Fajardo Medical Plaza 102, Fajardo, PR 00738 | 2006-11-02 |
| 1164500237 | Luis Raul Salaman Marin | Internal Medicine | Ave. Conquistador Esq. Calle 8, 5k-1 Urb. Monte Brisas 5, Fajardo, PR 00738-1122 | 2006-11-02 |
| 1083689103 | Pedro C Scorza | Internal Medicine | 205 Celis Aguilera St, Suite 103, Fajardo, PR 00738 | 2006-02-22 |
| 1518939545 | Angel Jose Quesada Alonso | Internal Medicine | Ave General Valero 303, Suite 204 Editicio Medico Del Este, Fajardo, PR 00738 | 2006-02-03 |
| Find all providers in FAJARDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.