Evelyn Matta Fontanet, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

13484 Issued in PR

Practice address

21 Las Flores
Rio Grande, PR 00745

Phone

(787) 809-4025

Fax

(787) 809-4025

NPI assigned

Jun 21, 2006

Last updated

Feb 22, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Programa de Servicios de Salud En El Hogar Y Hospicio San Lucas Inc Hospice, Ponce, PR, CCN 401530

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Caparra Internal Medicine Service Group PSC

  • Internal Medicine Physician
  • Rio Grande, PR
  • NPI 1093727026
  Medicare reassignment NPD
• Caparra Sonography and Vascular Studio Center

  • Sonography Specialist/Technologist Cardiovascular
  • Rio Grande, PR
  • NPI 1720132046
  NPD (past) Authorized official

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

• Programa de Servicios de Salud En El Hogar Y Hospicio San Lucas, Inc.

  • Community Based Hospice Care Agency
  • Ponce, PR
  • NPI 1841925161
  Care Compare affiliation

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298332800000",
    "number": "1700822574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 CALLE GARDENIA",
            "address_2": "LA PONDEROSA",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "007452201",
            "telephone_number": "787-809-4025",
            "fax_number": "787-809-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 LAS FLORES",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "00745",
            "telephone_number": "787-809-4025",
            "fax_number": "787-809-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTA FONTANET",
        "first_name": "EVELYN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2011-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "13484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "13484",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria E Marquez
• Luis Orlando Martinez-Rijos, RPHTCH
• Giselle Marie Martinez, MS, CCC-SLP
• Glenda Martinez, MD
• Silma L. Martinez, MD
• Yanializ Matta, MSW
• Medical Education Group PSC
• Medicos Aliados del Noreste
• Edanilka Medina Sustache, PHD
• David J Medina, MA

• Internal Medicine Physician in Rio Grande, PR
• Providers in Rio Grande, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.