Active NPI
Ivonne de L Fraga Berrios, MD
- Neurology Physician
- San Juan, PR
National Provider Identifier
1033116264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 13162
- Practice address
- 708 Ave Ponce de Leon
Suite 102
San Juan, PR 00918-4502 - Phone
- (787) 763-9312
- Fax
- (787) 294-1246
- NPI assigned
- Jul 1, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 13162 | PR | Primary |
Addresses
Primary practice location
708 Ave Ponce de Leon
Suite 102
San Juan, PR 00918-4502
Mailing address
PMB 191 PO Box 7891
Guaynabo, PR 00970-7891
Phone (787) 708-4618
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20101 | Other | PR | SSS PROVIDER # |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031210000646 | PR | Practitioner - Neurology | 1052217056 | Practice locations: Hato Rey, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- University of Puerto Rico School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
708 Ave Ponce de Leon
San Juan, PR 00918-4502
Phone (787) 763-9312
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13162 | PR | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Instituto de Neurologia Dra. Ivonne Fraga, PSC | Past | Accepting new patients | |
| Clinica de Medicina Interna Dr. Martin Lugo, PSC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Medical Specialty Clinic/Center
- San Juan, PR
- NPI 1871986216
-
- Medical Specialty Clinic/Center
- San Juan, PR
- NPI 1689067027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1033116264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PMB 191 PO BOX 7891",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009707891",
"telephone_number": "787-708-4618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 AVE PONCE DE LEON",
"address_2": "SUITE 102",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009184502",
"telephone_number": "787-763-9312",
"fax_number": "787-294-1246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAGA BERRIOS",
"first_name": "IVONNE DE L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-01",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PR",
"license": "13162",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SSS PROVIDER #",
"identifier": "20101",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.