NPIMap

Individual provider Active NPI

Cesar Luque Fontanez, M.D.

  • Surgery Physician
  • San Juan, PR
National Provider Identifier
1386929149
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
19298 Issued in PR
Practice address
29 Washington Street, Avenue 1451
Ashford Medical Center, Office 805
San Juan, PR 00907
Phone
(787) 721-6380
NPI assigned
Oct 12, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 19298 PR Primary

Addresses

Primary practice location

29 Washington Street, Avenue 1451
Ashford Medical Center, Office 805
San Juan, PR 00907

Mailing address

PO Box 23318
San Juan, PR 00931-3318
Phone (787) 299-8835

Other practice location 1

Monacillo St. 2116, Centro Medico
University Hospital
San Juan, PR 00921-2116
Phone (787) 754-0101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medical Services, PSC Current Accepting new patients
Hospitalist Medical Services, PSC CurrentSince Sep 25, 2016 Accepting new patients
PR Cardiology Group PSC Past Accepting new patients
Gastroenterology and Cardiac Arrhythmia Service PSC Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1386929149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23318",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009313318",
            "telephone_number": "787-299-8835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 WASHINGTON STREET, AVENUE 1451",
            "address_2": "ASHFORD MEDICAL CENTER, OFFICE 805",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00907",
            "telephone_number": "787-721-6380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Monacillo St. 2116, Centro Medico",
            "address_2": "University Hospital",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009212116",
            "country_code": "US",
            "telephone_number": "787-754-0101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUQUE FONTANEZ",
        "first_name": "CESAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-12",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PR",
            "license": "19298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.