Individual provider Active NPI

Freddie Yamil Fontanez Alvarez

  • Massage Therapist
  • Caguas, PR
National Provider Identifier
1386227007
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
865 Issued in PR
Practice address
Barrio Tomas de Castro
Sector El Cinco Carr. 183 KM 4.8 Local 1
Caguas, PR 00725
Phone
(787) 214-5139
NPI assigned
Apr 30, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X 865 PR Primary

Addresses

Primary practice location

Barrio Tomas de Castro
Sector El Cinco Carr. 183 KM 4.8 Local 1
Caguas, PR 00725

Mailing address

Urb Borinquen Valley
299 Calle Arado
Caguas, PR 00725-9862
Phone (787) 214-5139

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

State licenses

LicenseStateTypeSpecialty
865PRMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1386227007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB BORINQUEN VALLEY",
            "address_2": "299 CALLE ARADO",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007259862",
            "telephone_number": "787-214-5139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BARRIO TOMAS DE CASTRO",
            "address_2": "SECTOR EL CINCO CARR. 183 KM 4.8 LOCAL 1",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-214-5139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTANEZ ALVAREZ",
        "first_name": "FREDDIE",
        "middle_name": "YAMIL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "PR",
            "license": "865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.