NPIMap

Organization Active NPI

Servicios Medicos Integrados de Fajardo, P.S.C.

  • General Practice Physician
  • Fajardo, PR
National Provider Identifier
1407001829
Registry record updated Oct 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
SERVICIOS MEDICOS INTEGRADOS DE FAJARDO, P.S.C.
Practice address
I24 Calle Principal
Urb Baralt
Fajardo, PR 00738-3772
Phone
(787) 863-7646
Fax
(787) 860-7357
NPI assigned
Nov 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2011

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

Authorized official

Name
Dr. Agapito Fontanez
Title
President
Phone
(787) 863-7646

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

I24 Calle Principal
Urb Baralt
Fajardo, PR 00738-3772

Mailing address

PO Box 827
Fajardo, PR 00738-0827
Phone (787) 863-7646

National Provider Directory

National Provider Directory
Tax ID family
Servicios Medicos Integrados de Fajardo PSC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1227657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318204800000",
    "number": "1407001829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 827",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007380827",
            "telephone_number": "787-863-7646",
            "fax_number": "787-860-7357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "I24 CALLE PRINCIPAL",
            "address_2": "URB BARALT",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007383772",
            "telephone_number": "787-863-7646",
            "fax_number": "787-860-7357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICIOS MEDICOS INTEGRADOS DE FAJARDO, P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-26",
        "last_updated": "2011-10-10",
        "status": "A",
        "authorized_official_last_name": "FONTANEZ",
        "authorized_official_first_name": "AGAPITO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-863-7646",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fajardo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; 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.