Active NPI
Jose Javier Lopez Fontanet
- Ophthalmology Physician
- San Juan, PR
National Provider Identifier
1205586278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 1205586278
- Practice address
- Universidad de Puerto Rico Recinto de Ciencias Medicas
PO Box 365067
San Juan, PR 00936-5067 - Phone
- (787) 220-2243
- NPI assigned
- Mar 24, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Ophthalmology Physician | 207W00000X | 1205586278 | PR | Primary |
Addresses
Primary practice location
Universidad de Puerto Rico Recinto de Ciencias Medicas
PO Box 365067
San Juan, PR 00936-5067
Mailing address
Estancias de Gran Vista
50 Calle San Jose
Gurabo, PR 00778
Phone (787) 220-2243
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1205586278 | PR | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744070400000",
"number": "1205586278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ESTANCIAS DE GRAN VISTA",
"address_2": "50 CALLE SAN JOSE",
"city": "GURABO",
"state": "PR",
"postal_code": "00778",
"telephone_number": "787-220-2243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UNIVERSIDAD DE PUERTO RICO RECINTO DE CIENCIAS MEDICAS",
"address_2": "PO BOX 365067",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009365067",
"telephone_number": "787-220-2243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ FONTANET",
"first_name": "JOSE",
"middle_name": "JAVIER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-24",
"last_updated": "2025-04-08",
"certification_date": "2025-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "PR",
"license": "1205586278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.