Active NPI
Juan Fontanez, M.D.
- Nuclear Imaging & Therapy Physician
- Hato Rey, PR
National Provider Identifier
1174567036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Imaging & Therapy Physician
- License
- 13021
- 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, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070919000052 | PR | Practitioner - Nuclear Medicine | 9335233592 | Practice locations: Hato Rey, PR; Las Piedras, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Nuclear Medicine
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 13021 | PR | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
dba Nuclear Medicine and Diagnostic Services
- Multi-Specialty Clinic/Center
- Vega Alta, PR
- NPI 1821234089
-
- Nuclear Cardiology Physician
- Guaynabo, PR
- NPI 1225527542
-
- Mammography Clinic/Center
- Hato Rey, PR
- NPI 1518060847
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
- Venessa Jaelis Figueroa Oquendo, PTA
- Marieli Figueroa-Morales
- Antonio Figueroa-Ramirez, MD
- Carmen J Figueroa, REGISTERED NURSE RN
- Delia E Flores Lebron, O.D.
- Jean Paul Frame Gonzalez, D.M.D.
- Carlos M Franco-Molini, MD
- Itamar A Garcia Casillas, OTL
- Carlos A. Garcia Rodriguez, PH.D.
- Ivan Diego Garcia, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.