Giannina Coppola-Fasick, MD

Primary specialty

Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X

License

19570 Issued in PR

Practice address

A28 Calle C
Carolina, PR 00987-7102

Phone

(787) 257-2040

NPI assigned

Mar 24, 2014

Last updated

Jan 31, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Allergy/Immunology

Education

University Central del Caribe Escuela de Medicina, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Angelo Coppola, MD, PSC

  • Specialist
  • Carolina, PR
  • NPI 1578998126
  NPD (past)

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1336566744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1789 CARR 21 STE 302",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213337",
            "telephone_number": "787-764-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "A28 CALLE C",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009877102",
            "telephone_number": "787-257-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPPOLA-FASICK",
        "first_name": "GIANNINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-24",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "PR",
            "license": "19570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038915800",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luzill Clarimar Concepcion Almestica, BSN
• Alexandra M. Conde-Toro, MD
• Soraya Conde, RPH
• Consultorio Medico Dr Canales LLC
• Cooperativa de Servicios de Salud de PR
• Angelo Coppola, M.D.
• Jaylin L Corchado Jimenez
• Gabriella Maria Cordero Gallardo, DMD
• Enerolisa Altagracia Cordero-Polanco, M.D
• Lourdes Del Pilar Cordero, OPTOMETRIST OD

• Allergy & Immunology (Internal Medicine) Physician in Carolina, PR
• Providers in Carolina, PR by specialty
• Allergy & Immunology (Internal Medicine) Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.