Evelyn S Almodovar Puantong, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

15056 Issued in PR

Practice address

2907 Ave Emilio Fagot
Ponce, PR 00716-3613

Phone

(787) 844-6230

Fax

(787) 848-4737

NPI assigned

Jul 11, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospital Episcopal San Lucas II Hospital, Ponce, PR, CCN 400044

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

• Saint Lukes Memorial Hospital Inc

  • General Acute Care Hospital
  • Ponce, PR
  • NPI 1841295557
  Care Compare affiliation

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619902640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 AVE TITO CASTRO",
            "address_2": "STE 102 PMB 222",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007160200",
            "telephone_number": "787-844-6230",
            "fax_number": "787-848-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2907 AVE EMILIO FAGOT",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007163613",
            "telephone_number": "787-844-6230",
            "fax_number": "787-848-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALMODOVAR PUANTONG",
        "first_name": "EVELYN",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "15056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PR LICENSE",
            "identifier": "15056",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lourdes Alicea-Rodriguez, PHARM D.
• Zoe Alicea, M.D.
• Alivia Infusion Services LLC
• Jorge Almodovar Capielo, MSW
• Jaira Marie Almodovar Medina, PSYD
• William Almodovar-Sanchez, MD
• Ivan Andres Almodovar
• Nelly A Almodovar, RPH.
• Nicole Juliane Almodovar, PHARMD
• Raquel Hernandez Almodovar

• Family Medicine Physician in Ponce, PR
• Providers in Ponce, PR by specialty
• Family Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.