Active NPI
Carmen Ana Fuentes
- Physical Therapist
- Barceloneta, PR
National Provider Identifier
1679003560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- Carr. 2 KM 57.5
113 Bo Cruce Davila
Barceloneta, PR 00617-3130 - Phone
- (787) 846-6307
- Fax
- (787) 846-5084
- NPI assigned
- Jun 14, 2017
- Last updated
- Jun 14, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PR | Primary |
Addresses
Primary practice location
Carr. 2 KM 57.5
113 Bo Cruce Davila
Barceloneta, PR 00617-3130
Mailing address
807 Calle Princesa
Urb Monaco 3
Manati, PR 00674
Phone (787) 447-7769
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BRS Physiatry & Sports Medicine PSC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- San Juan, PR
- NPI 1275186017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497398400000",
"number": "1679003560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "807 CALLE PRINCESA",
"address_2": "URB MONACO 3",
"city": "MANATI",
"state": "PR",
"postal_code": "00674",
"telephone_number": "787-447-7769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR. 2 KM 57.5",
"address_2": "113 BO CRUCE DAVILA",
"city": "BARCELONETA",
"state": "PR",
"postal_code": "006173130",
"telephone_number": "787-846-6307",
"fax_number": "787-846-5084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUENTES",
"first_name": "CARMEN",
"middle_name": "ANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-14",
"last_updated": "2017-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Barceloneta, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.