Individual provider Active NPI

Juan M Igartua Ponton, M.D.F.A.C.C.

  • Cardiovascular Disease Physician
  • Bayamon, PR
National Provider Identifier
1649275603
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
6069 Issued in PR
Practice address
66 Calle Santa Cruz
Inst San Pablo 401
Bayamon, PR 00961-7049
Phone
(787) 787-6083
Fax
(787) 786-4987
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 6069 PR Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 6069 PR
Interventional Cardiology Physician 207RI0011X 6069 PR

Addresses

Primary practice location

66 Calle Santa Cruz
Inst San Pablo 401
Bayamon, PR 00961-7049

Mailing address

66 Calle Santa Cruz
Inst San Pablo 401
Bayamon, PR 00961-7049
Phone (787) 787-6083

Other names 1

  • Juan M Igartua Ponton Former name

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
I20080521000080 PR Practitioner - Cardiovascular Disease (Cardiology) 0547339202 Reassigns benefits to 2 organizations
Practice locations: Bayamon, PR

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CT Radiology Complex LLCGroup PAC ID 5597757526, 13 clinicians
CT Radiology Complex LLCGroup PAC ID 7810961737, 12 clinicians

Practice addresses (Care Compare)

1815 Carr
Suite 2
Bayamon, PR 00959-7279
Phone (787) 780-9069

CT Radiology Building 1815 Rd
Suite 2
Bayamon, PR 00959-7279
Phone (787) 780-2121

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6069PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
CT Radiology Complex LLC Cardiovascular Disease CurrentSince Jun 5, 2025 Accepting new patients

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1649275603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 CALLE SANTA CRUZ",
            "address_2": "INST SAN PABLO 401",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617049",
            "telephone_number": "787-787-6083",
            "fax_number": "787-786-4987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 CALLE SANTA CRUZ",
            "address_2": "INST SAN PABLO 401",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617049",
            "telephone_number": "787-787-6083",
            "fax_number": "787-786-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGARTUA PONTON",
        "first_name": "JUAN",
        "middle_name": "M",
        "credential": "M.D.F.A.C.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "6069",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "PR",
            "license": "6069",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PR",
            "license": "6069",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUAN",
            "last_name": "IGARTUA PONTON",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.