Individual provider Active NPI

Felipe Fontanez Sullivan, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Bayamon, PR
National Provider Identifier
1164496014
Registry record updated Mar 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
7754 Issued in PR
Practice address
Bayamon Medical PLZ
Suite 701
Bayamon, PR 00959-7200
Phone
(787) 798-5585
Fax
(787) 787-2101
NPI assigned
Feb 16, 2006
Last updated
Mar 8, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 7754 PR Primary

Addresses

Primary practice location

Bayamon Medical PLZ
Suite 701
Bayamon, PR 00959-7200

Mailing address

A40 Calle 2
Tintillo Gardens
Guaynabo, PR 00966-1636
Phone (787) 798-5500

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
I20110315000170 PR Practitioner - Orthopedic Surgery 7315129228 Reassigns benefits to 1 organization
Practice locations: Bayamon, PR

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Puerto Rico School of Medicine, 1980
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)

Centro Medico de PR
Bo Monacillos Adm de Servicios Medicos
Rio Piedras, PR 00935
Phone (787) 777-3535

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7754PRMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas CurrentSince Aug 1, 1988 Accepting new patients
Recinto de Ciencias Medicas Orthopaedic Surgery CurrentSince Aug 1, 1988 Accepting new patients
PR Hand Ortho LLC Orthopaedic Surgery Past Accepting new patients
Departamento de Salud Past Accepting new patients

Locations

Centro Medico De
San Juan, PR 00935
Phone (781) 763-4149

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299542400000",
    "number": "1164496014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "A40 CALLE 2",
            "address_2": "TINTILLO GARDENS",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009661636",
            "telephone_number": "787-798-5500",
            "fax_number": "787-787-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BAYAMON MEDICAL PLZ",
            "address_2": "SUITE 701",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009597200",
            "telephone_number": "787-798-5585",
            "fax_number": "787-787-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTANEZ SULLIVAN",
        "first_name": "FELIPE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2011-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "PR",
            "license": "7754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.