Christian R. Fajardo Algarin

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

90452 Issued in PR

Practice address

Calle Luis Munoz Rivera Final # 40
Juncos, PR 00777

Phone

(787) 600-2290

Fax

(787) 712-3427

NPI assigned

Dec 9, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1033820154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 4040",
            "address_2": "SUITE 450",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "007777040",
            "telephone_number": "787-249-7793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE LUIS MUNOZ RIVERA FINAL # 40",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "00777",
            "telephone_number": "787-600-2290",
            "fax_number": "787-712-3427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAJARDO ALGARIN",
        "first_name": "CHRISTIAN",
        "middle_name": "R.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-09",
        "last_updated": "2022-12-09",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PR",
            "license": "90452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dra Lina N Rivera Rivera PSC
• Eduka Corp
• El Valenciano Ambulance Services Inc
• Emergencias Medicas del Este, Inc
• Estancia Serena, Inc.
• Johaly Fajardo Tolentino
• Renata S Falero
• Farmacia del Pueblo
• Farmacia del Pueblo I-Juncos
• Farmacia del Pueblo II

• Licensed Practical Nurse in Juncos, PR
• Providers in Juncos, PR by specialty
• Licensed Practical Nurse in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.