Active NPI
Felipe Jose Fraticelli
- General Practice Physician
- San Juan, PR
National Provider Identifier
1679232862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 23172
- Practice address
- Centro Medico de Puerto Rico Barrio Monacillos
San Juan, PR 00935-0001 - Phone
- (787) 777-3535
- NPI assigned
- Dec 15, 2021
- Last updated
- Jan 3, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 23172 | PR | Primary |
Addresses
Primary practice location
Centro Medico de Puerto Rico Barrio Monacillos
San Juan, PR 00935-0001
Mailing address
H10 Via Cumbres
San Juan, PR 00924-4474
Phone (787) 565-1824
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23172 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dzeus Corp. | General Practice | Current | Accepting new patients |
Locations
7508 Ave Sfc Agustin Ramos Calero
Isabela, PR 00662
Phone (787) 333-0770
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704240000000",
"number": "1679232862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "H10 VIA CUMBRES",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009244474",
"telephone_number": "787-565-1824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CENTRO MEDICO DE PUERTO RICO BARRIO MONACILLOS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009350001",
"telephone_number": "787-777-3535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRATICELLI",
"first_name": "FELIPE",
"middle_name": "JOSE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-12-15",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "23172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.