Ivonne Fragoso-Vazquez

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

19908 Issued in PR

Practice address

Upr School of Medicine Psychiatry Department
Dr. Federico Trilla Hospital
Carolina, PR 00984

Phone

(787) 758-2525

NPI assigned

Jun 20, 2014

Last updated

Aug 14, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Administracion de Servicios de Salud Mental Y Contra la Adiccion

  dba Hospital Psiquiatrico Dr. Ramon Fernandez Marina

  • Psychiatric Hospital
  • San Juan, PR
  • NPI 1598750192
  Medicare reassignment NPD
• Administracion de Servicios de Salud Mental Y Contra la Adiccion

  • Methadone Clinic
  • Aguadilla, PR
  • NPI 1982732095
  NPD
• Metro Hato Rey Inc

  dba Hospital Pavia Hato Rey

  • General Acute Care Hospital
  • San Juan, PR
  • NPI 1750346151
  NPD (past)
• Puerto Rico Community for Clinical Services, Research and Health

  dba PR CoNCRA

  • Multi-Specialty Clinic/Center
  • Rio Piedras, PR
  • NPI 1396776472
  NPD (past)

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1730593450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 365067",
            "address_2": "UPR SCHOOL OF MEDICINE PSYCHIATRY DEPARTMENT",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009365067",
            "telephone_number": "787-758-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UPR SCHOOL OF MEDICINE PSYCHIATRY DEPARTMENT",
            "address_2": "DR. FEDERICO TRILLA HOSPITAL",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00984",
            "telephone_number": "787-758-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAGOSO-VAZQUEZ",
        "first_name": "IVONNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-20",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "19908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pablo Andres Fontanet Sanchez, MD
• Hector O Fontanet, MD
• Daniel Josue Fontanez-Irizarry
• Andres Fortuna
• FPC Expreso, Inc (Farmacia Puerta de Carolina Expreso)
• Shiara Marie Francisquini Oquendo, PSY.D.
• Yamilka Aimett Franco, RD
• Yarisma Frometa Pastrana, MD
• FS Medical Inc (FS Medical)
• Carolina Maria Fuentes Suarez, MD

• Psychiatry Physician in Carolina, PR
• Providers in Carolina, PR by specialty
• Psychiatry Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; 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.

Verify at the official NPI Registry.