Individual provider Active NPI

Freddy Sallent Aquino, M.D.

  • Family Medicine Physician
  • Cidra, PR
National Provider Identifier
1447457700
Registry record updated Mar 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
16990 Issued in PR
Practice address
Carretera 787 KM 1.5
Cidra, PR 00739-1400
Phone
(787) 739-5555
NPI assigned
Jun 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 16990 PR Primary

Addresses

Primary practice location

Carretera 787 KM 1.5
Cidra, PR 00739-1400

Mailing address

Carretera 787 KM 15
Cidra, PR 00739-1400
Phone (787) 739-5555

Other names 1

  • Freddy Sallent Aquino Professional name

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
I20110121000187 PR Practitioner - Family Practice 1658550769 Practice locations: Carolina, PR

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Care LLC PastSince Jan 1, 2018 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sjcfsallen@yourcarecommunity.org

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, 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": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300492800000",
    "number": "1447457700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARRETERA 787 KM 15",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007391400",
            "telephone_number": "787-739-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 787 KM 1.5",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007391400",
            "telephone_number": "787-739-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALLENT AQUINO",
        "first_name": "FREDDY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2011-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "16990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FREDDY",
            "last_name": "SALLENT AQUINO",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cidra, PR

Sources for this page

Verify at the official NPI Registry.