Individual provider Active NPI

George Paul Fahed, MD

  • Pulmonary Disease Physician
  • Ponce, PR
National Provider Identifier
1003850397
Registry record updated Apr 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
13251 Issued in PR
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

Updated by the provider on Apr 9, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
13251OtherPRMEDICAL 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061109000395 PR Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 8123026911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Somnos CorpGroup PAC ID 9830271923, 2 clinicians

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 Hospital, Ponce, PR, CCN 400044

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13251PRMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Somnos Corp CurrentSince Jan 29, 2008 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.