Individual provider Active NPI

Carlos J Fraga, MD

  • Orthopaedic Foot and Ankle Surgery Physician
  • Bayamon, PR
National Provider Identifier
1720159965
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
License
10579 Issued in PR
Practice address
100 Paseo San Pablo
A Cadilla BLG Ste 406
Bayamon, PR 00961-7019
Phone
(787) 798-4989
Fax
(787) 798-4988
NPI assigned
Nov 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X 10579 PR Primary

Addresses

Primary practice location

100 Paseo San Pablo
A Cadilla BLG Ste 406
Bayamon, PR 00961-7019

Mailing address

100 Paseo San Pablo
A Cadilla BLG Ste 406
Bayamon, PR 00961-7019
Phone (787) 798-4989

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
I20080211000338 PR Practitioner - Orthopedic Surgery 5597848838 Practice locations: Bayamon, PR

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Puerto Rico School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

B1 Carimed PLZ
Bayamon, PR 00961
Phone (787) 798-4989

Carimed Plaza
1 Calle Santa Cruz Suite 507
Bayamon, PR 00961

Carimed Plaza
Santa Cruz B1 Suite 507
Bayamon, PR 00961-6933

Hospital & facility affiliations

  • Hospital Espanol Auxilio Mutuo San Pablo Hospital, Bayamon, PR, CCN 400109

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue19
Removal of nail tissue1-10

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: sjccfraga@yourcarecommunity.org

Hospital & facility affiliations 1

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": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720159965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PASEO SAN PABLO",
            "address_2": "A CADILLA BLG STE 406",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617019",
            "telephone_number": "787-798-4989",
            "fax_number": "787-798-4988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PASEO SAN PABLO",
            "address_2": "A CADILLA BLG STE 406",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617019",
            "telephone_number": "787-798-4989",
            "fax_number": "787-798-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAGA",
        "first_name": "CARLOS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "PR",
            "license": "10579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.