Individual provider Active NPI

Reinaldo Jose Fornaris Paravisini, M.D.

  • Diagnostic Radiology Physician
  • San Juan, PR
National Provider Identifier
1629383609
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
019016 Issued in PR
Practice address
Jardines Metropolitanos #1. 355 Galileo Street.
Suite # 8L
San Juan, PR 00927-0692
Phone
(787) 528-5531
NPI assigned
Aug 13, 2010
Last updated
Sep 27, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 019016 PR Primary

Addresses

Primary practice location

Jardines Metropolitanos #1. 355 Galileo Street.
Suite # 8L
San Juan, PR 00927-0692

Mailing address

Jardines Metropolitanos #1. 355 Galileo Street.
Suite # 8L
San Juan, PR 00927-0692
Phone (787) 528-5531

Other identifiers 1

IdentifierTypeStateIssuer
019016OtherPRMD LICENSE

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
I20160928000345 PR Practitioner - Diagnostic Radiology 0749577260 Reassigns benefits to 15 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Puerto Rico School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oncology and Body Imaging PSCGroup PAC ID 1557790110, 16 clinicians

Practice addresses (Care Compare)

7200 Ave 65 Infanteria
Carolina, PR 00985-5575
Phone (787) 757-1800

735 Ave Ponce de Leon
Suite 375
San Juan, PR 00917-5025
Phone (787) 758-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
019016PRMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Servicios Medicos Universitarios Inc Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Radiologia del Turabo, C.S.P. Diagnostic Radiology CurrentSince Dec 6, 2021 Accepting new patients
Instituto Medico del Norte Inc CurrentSince Dec 20, 2022 Accepting new patients
Instituto Medico del Norte Inc CurrentSince Dec 20, 2022 Accepting new patients
Salud Integral En la Montana, Inc CurrentSince Apr 19, 2022 Accepting new patients
Salud Integral En la Montana, Inc. Current Accepting new patients
Roberto J Sein & Rafael M Rivera PTR Diagnostic Radiology CurrentSince Jul 12, 2016 Accepting new patients
Dla Imaging LLC Diagnostic Radiology CurrentSince Jun 6, 2022 Accepting new patients
Ponce Neuroradiological Services, PSC Diagnostic Radiology CurrentSince Oct 1, 2021 Accepting new patients
Salud Integral En la Montana, Inc CurrentSince Apr 19, 2022 Accepting new patients
Salud Integral En la Montana, Inc CurrentSince Apr 19, 2022 Accepting new patients
Oncology & Body Imaging PSC Diagnostic Radiology CurrentSince Sep 19, 2024 Accepting new patients
Centro Medico del Turabo Inc CurrentSince May 7, 2017 Accepting new patients
Salud Integral En la Montana, Inc Diagnostic Radiology CurrentSince Apr 19, 2022 Accepting new patients
Centro Medico del Turabo Inc CurrentSince May 7, 2017 Accepting new patients
Metro Mayaguez Inc CurrentSince May 1, 2024 Accepting new patients
Sono X Ray Radiology Group Diagnostic Radiology CurrentSince Apr 14, 2022 Accepting new patients
Zenith Health Group LLC Past Accepting new patients

Locations

156 Calle Barcelo
#53
Barranquitas, PR 00794
Phone (787) 857-2688

70 Calle Santa Cruz
Bayamon, PR 00961
Phone (787) 620-1639

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

7200 Ave 65 Infanteria
Carolina, PR 00985

15 Calle Dr Basora N
Mayaguez, PR 00680
Phone (787) 342-6120

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474934400000",
    "number": "1629383609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "JARDINES METROPOLITANOS #1. 355 GALILEO STREET.",
            "address_2": "SUITE # 8L",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009270692",
            "telephone_number": "787-528-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JARDINES METROPOLITANOS #1. 355 GALILEO STREET.",
            "address_2": "SUITE # 8L",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009270692",
            "telephone_number": "787-528-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORNARIS PARAVISINI",
        "first_name": "REINALDO",
        "middle_name": "JOSE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-13",
        "last_updated": "2016-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "019016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LICENSE",
            "identifier": "019016",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.