Individual provider Active NPI

Wilfred Faisca, M.D.

  • Specialist
  • Rio Piedras, PR
National Provider Identifier
1336124841
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
5131 Issued in PR
Practice address
Carretera 845 KM. 3.2
D-32 Fair View
Rio Piedras, PR 00926
Phone
(787) 755-6354
Fax
(787) 755-3285
NPI assigned
Dec 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 5131 PR Primary

Addresses

Primary practice location

Carretera 845 KM. 3.2
D-32 Fair View
Rio Piedras, PR 00926

Mailing address

PO Box 1799
Trujillo Alto, PR 00977-1799
Phone (787) 755-6354

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)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336003200000",
    "number": "1336124841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1799",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009771799",
            "telephone_number": "787-755-6354",
            "fax_number": "787-755-3285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 845 KM. 3.2",
            "address_2": "D-32 FAIR VIEW",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-755-6354",
            "fax_number": "787-755-3285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAISCA",
        "first_name": "WILFRED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2012-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "5131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Piedras, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.