Active NPI
George Paul Fahed, MD
- Pulmonary Disease Physician
- Ponce, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 13251
- Practice address
- 917 Ave Tito Castro
Torre Medica San Lucas Suite 701
Ponce, PR 00716-0000 - Phone
- (787) 290-5577
- Fax
- (787) 848-6644
- NPI assigned
- Jun 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 13251 | PR | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 13251 | PR | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 13251 | PR | |
| Pulmonary Disease Physician | 207RP1001X | 13251 | PR | Primary |
Addresses
Primary practice location
917 Ave Tito Castro
Torre Medica San Lucas Suite 701
Ponce, PR 00716-0000
Mailing address
522 Calle Castilla
Coto Laurel, PR 00780-2636
Phone (787) 290-5577
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13251 | Other | PR | MEDICAL LICENSE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
917 Ave Tito Castro
Ponce, PR 00716
917 Ave Tito Castro
Ponce, PR 00716-4717
Phone (787) 290-5577
917 Ave Tito Castro Torre Medica San
Suite 707
Ponce, PR 00716-4722
Phone (787) 290-5577
Hospital & facility affiliations
- Hospital Episcopal San Lucas II
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13251 | PR | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Somnos Corp | Current | Accepting new patients |
Locations
917 Ave Tito Castro
Ponce, PR 00716
Phone (787) 560-4314
917 Ave Tito Castro
Ste 701
Ponce, PR 00716
Phone (787) 840-8899
Organizations & group practices 1
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.
-
- Sleep Disorder Diagnostic Clinic/Center
- Ponce, PR
- NPI 1295923720
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ponce, PR
- NPI 1841295557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523232000000",
"number": "1003850397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "522 CALLE CASTILLA",
"city": "COTO LAUREL",
"state": "PR",
"postal_code": "007802636",
"telephone_number": "787-290-5577",
"fax_number": "787-848-6644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "917 AVE TITO CASTRO",
"address_2": "TORRE MEDICA SAN LUCAS SUITE 701",
"city": "PONCE",
"state": "PR",
"postal_code": "007160000",
"telephone_number": "787-290-5577",
"fax_number": "787-848-6644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAHED",
"first_name": "GEORGE",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2018-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "13251",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "PR",
"license": "13251",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "PR",
"license": "13251",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "PR",
"license": "13251",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "13251",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.