Individual provider Active NPI

Fabio Ricci Gorbea, M.D.

  • Internal Medicine Physician
  • San Juan, PR
National Provider Identifier
1184810962
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
17957 Issued in PR
Practice address
400 Bo Tortugo Apt 123
San Juan, PR 00926-9773
Phone
(787) 938-7014
NPI assigned
Sep 14, 2007
Last updated
Jul 8, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 17957 PR Primary

Addresses

Primary practice location

400 Bo Tortugo Apt 123
San Juan, PR 00926-9773

Mailing address

400 Bo Tortugo Apt 123
San Juan, PR 00926-9773
Phone (787) 938-7014

Other names 1

  • Dr. Fabio Ricci Gorbea Professional name

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
I20151209002757 PR Practitioner - Cardiovascular Disease (Cardiology) 2264733641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Puerto Rico School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

202 Calle Gautier Benitez
Suite C14 a
Caguas, PR 00725
Phone (939) 397-6790

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Heart Failure of PR LLC Advanced Heart Failure and Transplant Cardiology CurrentSince Nov 16, 2024 Accepting new patients
Advanced Heart and Vascular Center LLC PastSince Nov 17, 2024 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278547200000",
    "number": "1184810962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BO TORTUGO APT 123",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009269773",
            "telephone_number": "787-938-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BO TORTUGO APT 123",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009269773",
            "telephone_number": "787-938-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICCI GORBEA",
        "first_name": "FABIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-14",
        "last_updated": "2010-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "17957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FABIO",
            "last_name": "RICCI GORBEA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.