Individual provider Active NPI

Jose A. Fuentes Jr., M.D.

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Caguas, PR
National Provider Identifier
1346228335
Registry record updated Aug 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
License
11381 Issued in PR
Practice address
26 Calle Jimenez Sicardo
Caguas, PR 00725-3737
Phone
(787) 745-1909
Fax
(787) 745-1909
NPI assigned
Jan 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 11381 PR Primary

Addresses

Primary practice location

26 Calle Jimenez Sicardo
Caguas, PR 00725-3737

Mailing address

K6 Parq del Condado
Bairoa Park
Caguas, PR 00727-1225
Phone (787) 746-5431

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
I20160323001070 PR Practitioner - General Practice 3173820842 Practice locations: Caguas, PR

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": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438819200000",
    "number": "1346228335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "K6 PARQ DEL CONDADO",
            "address_2": "BAIROA PARK",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007271225",
            "telephone_number": "787-746-5431",
            "fax_number": "787-745-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 CALLE JIMENEZ SICARDO",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007253737",
            "telephone_number": "787-745-1909",
            "fax_number": "787-745-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES",
        "first_name": "JOSE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2015-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "PR",
            "license": "11381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.