Individual provider Active NPI

Fernando Abreu Gonzalez

  • Internal Medicine Physician
  • San Juan, PR
National Provider Identifier
1437100930
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
15170 Issued in PR
Practice address
1300 Calle Atenas # Urb
RR 36 Box 36
San Juan, PR 00926-7807
Phone
(787) 300-1175
Fax
(787) 723-1736
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 15170 PR Primary

Addresses

Primary practice location

1300 Calle Atenas # Urb
RR 36 Box 36
San Juan, PR 00926-7807

Mailing address

RR 36 Box 36
Urb Monte Atenas
San Juan, PR 00926
Phone (787) 300-1175

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
I20051219000107 PR Practitioner - Internal Medicine 8224059266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ponce School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Cann
Suite 410
San Juan, PR 00921-3333

Torre del Metropolitano
San Juan, PR 00921-3333
Phone (787) 300-1175

Hospital & facility affiliations

  • Programa de Servicios de Salud En El Hogar Y Hospicio San Lucas Inc Hospice, Ponce, PR, CCN 401530
  • Metropolitan Hospital Hospital, San Juan, PR, CCN 400106

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15170PRMDInternal Medicine Physician

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1437100930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 36 BOX 36",
            "address_2": "URB MONTE ATENAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-300-1175",
            "fax_number": "787-723-1736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 CALLE ATENAS # URB",
            "address_2": "RR 36 BOX 36",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009267807",
            "telephone_number": "787-300-1175",
            "fax_number": "787-723-1736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABREU GONZALEZ",
        "first_name": "FERNANDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "15170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.