Individual provider Active NPI

Walter R Frontera, MD, PHD

  • Physical Medicine & Rehabilitation Physician
  • San Juan, PR
National Provider Identifier
1093796955
Registry record updated Mar 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
6855 Issued in PR
Practice address
2 Calle Azucena
Santa Maria
San Juan, PR 00927-6731
Phone
(787) 309-5060
NPI assigned
Nov 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 51049 MA
Physical Medicine & Rehabilitation Physician 208100000X 6855 PR Primary
Physical Medicine & Rehabilitation Physician 208100000X 48219 TN

Addresses

Primary practice location

2 Calle Azucena
Santa Maria
San Juan, PR 00927-6731

Mailing address

2 Calle Azucena
Santa Maria
San Juan, PR 00927-6731
Phone (787) 309-5060

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
I20070328000580 PR Practitioner - Physical Medicine and Rehabilitation 8224015847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Puerto Rico School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recinto de Ciencias MedicasGroup PAC ID 3678469962, 246 clinicians

Practice addresses (Care Compare)

Suite 200 Centro Comercial Reparto Me
Ave. Americo Miranda
Rio Piedras, PR 00921
Phone (787) 758-7910

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6855PRMDPharmacist
51049MAMDPhysical Medicine & Rehabilitation Physician
48219TNMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas Physical Medicine & Rehabilitation CurrentSince Mar 12, 2017 Accepting new patients
Recinto de Ciencias Medicas CurrentSince Mar 12, 2017 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.

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488499200000",
    "number": "1093796955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CALLE AZUCENA",
            "address_2": "SANTA MARIA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276731",
            "telephone_number": "787-309-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CALLE AZUCENA",
            "address_2": "SANTA MARIA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276731",
            "telephone_number": "787-309-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRONTERA",
        "first_name": "WALTER",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2017-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MA",
            "license": "51049",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PR",
            "license": "6855",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TN",
            "license": "48219",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.