Individual provider Active NPI

Angel Luis Fraguada, M.D.

  • Obstetrics & Gynecology Physician
  • Santurce, PR
National Provider Identifier
1447251285
Registry record updated Aug 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
8776 Issued in PR
Practice address
611 Calle Pavia
Suite 112
Santurce, PR 00909-2239
Phone
(787) 728-9849
Fax
(787) 268-5366
NPI assigned
Aug 2, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 8776 PR Primary

Addresses

Primary practice location

611 Calle Pavia
Suite 112
Santurce, PR 00909-2239

Mailing address

Se25 Camino de la Zarzuela
Mansion del Sur
Toa Baja, PR 00949-4827
Phone (787) 784-2210

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
I20130826000523 PR Practitioner - Obstetrics/Gynecology 3779726625 Practice locations: Santurce, PR

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University Central del Caribe Escuela de Medicina, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

611 Calle Dr Pavia Fernandez
Suite 112
Santurce, PR 00909-2242
Phone (787) 728-9849

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Municipality of San Juan PR Past Accepting new patients
Grupo Medicina Interna HMSJ Past Accepting new patients
Grupo Ginecologia Hospital Municipal SJ Obstetrics & Gynecology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: alfraguada@directpresbypr.com

Organizations & group practices 3

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": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1447251285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SE25 CAMINO DE LA ZARZUELA",
            "address_2": "MANSION DEL SUR",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009494827",
            "telephone_number": "787-784-2210",
            "fax_number": "787-795-6843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 CALLE PAVIA",
            "address_2": "SUITE 112",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "009092239",
            "telephone_number": "787-728-9849",
            "fax_number": "787-268-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAGUADA",
        "first_name": "ANGEL",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "8776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santurce, PR

Sources for this page

Verify at the official NPI Registry.