Individual provider Active NPI

Faustino C. Froilan, MD

  • Internal Medicine Physician
  • Truth Or Consequences, NM
National Provider Identifier
1548402555
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD2009-0118 Issued in NM
Practice address
800 East Ninth Avenue
Sierra Vista Hospital
Truth Or Consequences, NM 87901
Phone
(575) 743-1230
Fax
(575) 894-0835
NPI assigned
Apr 6, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

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 MD2009-0118 NM Primary

Addresses

Primary practice location

800 East Ninth Avenue
Sierra Vista Hospital
Truth Or Consequences, NM 87901

Mailing address

800 East Ninth Avenue
Sierra Vista Hospital
Truth Or Consequences, NM 87901
Phone (575) 743-1230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2009-0118NMMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra Vista Hospital Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316044800000",
    "number": "1548402555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 EAST NINTH AVENUE",
            "address_2": "SIERRA VISTA HOSPITAL",
            "city": "TRUTH OR CONSEQUENCES",
            "state": "NM",
            "postal_code": "87901",
            "telephone_number": "575-743-1230",
            "fax_number": "575-894-0835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 EAST NINTH AVENUE",
            "address_2": "SIERRA VISTA HOSPITAL",
            "city": "TRUTH OR CONSEQUENCES",
            "state": "NM",
            "postal_code": "87901",
            "telephone_number": "575-743-1230",
            "fax_number": "575-894-0835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROILAN",
        "first_name": "FAUSTINO",
        "middle_name": "C.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-06",
        "last_updated": "2011-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "MD2009-0118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Truth Or Consequences, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.