Individual provider Active NPI

Juan Fontanez, M.D.

  • Nuclear Imaging & Therapy Physician
  • Hato Rey, PR
National Provider Identifier
1174567036
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Imaging & Therapy PhysicianTaxonomy code 207UN0902X
License
13021 Issued in PR
Practice address
99 Calle Ponce
Urb. Perez Morris
Hato Rey, PR 00917-5007
Phone
(787) 407-2799
NPI assigned
Jun 15, 2006
Last updated
Oct 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Imaging & Therapy Physician 207UN0902X 13021 PR Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 13021 PR
General Practice Physician 208D00000X 13021 PR

Addresses

Primary practice location

99 Calle Ponce
Urb. Perez Morris
Hato Rey, PR 00917-5007

Mailing address

HC 83 Box 6954
Vega Alta, PR 00692-9712

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
I20070919000052 PR Practitioner - Nuclear MedicinePractitioner - Pathology 9335233592 Practice locations: Hato Rey, PR; Las Piedras, PR

Care Compare profile

Medicare Care Compare
Specialty
Nuclear MedicineAlso: Pathology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital del Maestro
Hato Rey, PR 00917-0001
Phone 78775883837564

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13021PRMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nuclear Scan PSC Past Accepting new patients
TMR Diagnostic Imaging Past Accepting new patients
Air Medical Services Past Accepting new patients

Organizations & group practices 3

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1174567036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 83 BOX 6954",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006929712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 CALLE PONCE",
            "address_2": "URB. PEREZ MORRIS",
            "city": "HATO REY",
            "state": "PR",
            "postal_code": "009175007",
            "telephone_number": "787-407-2799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTANEZ",
        "first_name": "JUAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "PR",
            "license": "13021",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PR",
            "license": "13021",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "13021",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hato Rey, PR

Sources for this page

Verify at the official NPI Registry.