Organization Active NPI

Caribbean Orthopedic Institute PSC

  • Adult Reconstructive Orthopaedic Surgery Physician
  • San Juan, PR
National Provider Identifier
1457759797
Registry record updated Mar 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
18492 Issued in PR
Legal business name
CARIBBEAN ORTHOPEDIC INSTITUTE PSC
Practice address
1213 Calle Tomas Agrait
Club Manor
San Juan, PR 00924-4333
Phone
(787) 633-1547
NPI assigned
Dec 19, 2014
Last updated
Mar 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2015

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

Authorized official

Name
Dr. Ricardo David Fontanet, M.D.NPI 1528299054
Title
President
Phone
(787) 633-1547

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 18492 PR Primary

Addresses

Primary practice location

1213 Calle Tomas Agrait
Club Manor
San Juan, PR 00924-4333

Mailing address

1213 T. Agrait,
Club Manor
San Juan, PR 00924
Phone (787) 633-1547

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150317001129 PR Part B Supplier - Clinic/Group Practice 1355668039 Receives reassigned benefits from 1 practitioner
Practice locations: San German, PR

National Provider Directory

National Provider Directory

Locations

26525 HC 3
San German, PR 00683

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1418947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426464000000",
    "number": "1457759797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 T. AGRAIT,",
            "address_2": "CLUB MANOR",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00924",
            "telephone_number": "787-633-1547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 CALLE TOMAS AGRAIT",
            "address_2": "CLUB MANOR",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009244333",
            "telephone_number": "787-633-1547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARIBBEAN ORTHOPEDIC INSTITUTE PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-19",
        "last_updated": "2015-03-16",
        "status": "A",
        "authorized_official_last_name": "FONTANET",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-633-1547",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "PR",
            "license": "18492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.