Andres Fortuna

Primary specialty

Radiography Radiologic TechnologistTaxonomy code 2471C3402X

License

4223PR Issued in PR

Practice address

Ave Isla Verde Cond Los Pinos Oeste
Apt 10 - I
Carolina, PR 00984-9046

Phone

(787) 253-0684

NPI assigned

Mar 13, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639202682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 79046",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009849046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE ISLA VERDE COND LOS PINOS OESTE",
            "address_2": "APT 10 - I",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009849046",
            "telephone_number": "787-253-0684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTUNA",
        "first_name": "ANDRES",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471C3402X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiography",
            "state": "PR",
            "license": "4223PR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miguel A Fontan
• Ricardo M. Fontanet Grana, MD
• Pablo Andres Fontanet Sanchez, MD
• Hector O Fontanet, MD
• Daniel Josue Fontanez-Irizarry
• FPC Expreso, Inc (Farmacia Puerta de Carolina Expreso)
• Ivonne Fragoso-Vazquez
• Shiara Marie Francisquini Oquendo, PSY.D.
• Yamilka Aimett Franco, RD
• Yarisma Frometa Pastrana, MD

• Radiography Radiologic Technologist in Carolina, PR
• Providers in Carolina, PR by specialty
• Radiography Radiologic Technologist 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.