Centro Geriatrico del Este PSC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

5177 Issued in PR

Legal business name

CENTRO GERIATRICO DEL ESTE PSC

Practice address

151 Ave Osvaldo Molina
Suite 103
Fajardo, PR 00738-4013

Phone

(787) 801-0081

NPI assigned

Jul 16, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Carlos A Fontanez, MD Sr., 16110

Title

Medico

Phone

(787) 340-4125

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carlos Agapito Fontanez, M.D.

  • Internal Medicine Physician
  • Fajardo, PR
  • NPI 1255403010
  Medicare reassignment NPD

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750636800000",
    "number": "1285898502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 458",
            "city": "PUERTO REAL",
            "state": "PR",
            "postal_code": "007400458",
            "telephone_number": "787-801-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 AVE OSVALDO MOLINA",
            "address_2": "SUITE 103",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007384013",
            "telephone_number": "787-801-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO GERIATRICO DEL ESTE PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-16",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A",
        "authorized_official_last_name": "FONTANEZ, MD",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICO",
        "authorized_official_telephone_number": "787-340-4125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "16110"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "PR",
            "license": "5177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centro de Hematologia Y Oncologia del Este
• Centro de Hematologia Y Oncologia del Este CSP
• Centro de Terapia Fisica de Fajardo
• Centro Dental Pediatrico
• Centro Dermatologico del Este Dra Elena Nogales PSC
• Centro Ginecoobstetrico Dr Cintron
• Centro Integral de Medicina
• Centro Medicina Alternativa Pablos
• Centro Medico del Turabo
• Centro Medico del Turabo Inc

• Geriatric Medicine (Internal Medicine) Physician in Fajardo, PR
• Providers in Fajardo, PR by specialty
• Geriatric Medicine (Internal Medicine) Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.