Individual provider Active NPI

Eduardo Fahme, MD

  • Pulmonary Disease Physician
  • Bayamon, PR
National Provider Identifier
1245223973
Registry record updated Jul 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
16439 Issued in PR
Practice address
Urb Fronteras de Bayamon Plaza Predera 103
Edif D Suite 2
Bayamon, PR 00961
Phone
(787) 998-1996
NPI assigned
Aug 29, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 16439 PR Primary

Addresses

Primary practice location

Urb Fronteras de Bayamon Plaza Predera 103
Edif D Suite 2
Bayamon, PR 00961

Mailing address

PO Box 1513
Sabana Seca
Sabana Seca, PR 00952-1513
Phone (787) 795-3311

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
I20080325000559 PR Practitioner - Internal MedicinePractitioner - Pulmonary Disease 9436235884 Practice locations: Bayamon, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Edif D
Suite 2
Bayamon, PR 00961
Phone (787) 998-1996

Hospital & facility affiliations

  • Hospital Espanol Auxilio Mutuo San Pablo Hospital, Bayamon, PR, CCN 400109
  • Bayamon Medical Center Hospital, Bayamon, PR, CCN 400032

National Provider Directory

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

Hospital & facility affiliations 2

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": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374192000000",
    "number": "1245223973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1513",
            "address_2": "SABANA SECA",
            "city": "SABANA SECA",
            "state": "PR",
            "postal_code": "009521513",
            "telephone_number": "787-795-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB FRONTERAS DE BAYAMON PLAZA PREDERA 103",
            "address_2": "EDIF D SUITE 2",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-998-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHME",
        "first_name": "EDUARDO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-29",
        "last_updated": "2013-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PR",
            "license": "16439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.