Individual provider Active NPI

Jorge E Fages Torres, M.D.

  • General Practice Physician
  • Guaynabo, PR
National Provider Identifier
1376858506
Registry record updated Dec 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
17994 Issued in PR
Practice address
A10 Calle Benitez
Urb. Villa Lissette
Guaynabo, PR 00969-3439
Phone
(787) 662-2304
NPI assigned
Aug 12, 2010
Last updated
Dec 20, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 17994 PR Primary

Addresses

Primary practice location

A10 Calle Benitez
Urb. Villa Lissette
Guaynabo, PR 00969-3439

Mailing address

Calle Benitez A10
Urb. Villa Lissette
Guaynabo, PR 00969
Phone (787) 662-2304

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
I20110303000351 PR Practitioner - General Practice 0648452284 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17994PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
El Medico Visitante...,P.S.C. CurrentSince Feb 1, 2012 Accepting new patients

Locations

951 Ave Americo Miranda
San Juan, PR 00921
Phone (787) 749-9744

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Grace Hospice of Puerto RicoSan Juan, PR, CCN 401571 Hospice W-2 Managing Employee (100%) Oct 1, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292803200000",
    "number": "1376858506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE BENITEZ A10",
            "address_2": "URB. VILLA LISSETTE",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-662-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "A10 CALLE BENITEZ",
            "address_2": "URB. VILLA LISSETTE",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009693439",
            "telephone_number": "787-662-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGES TORRES",
        "first_name": "JORGE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-12",
        "last_updated": "2010-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.