Individual provider Active NPI

Agapito Fontanez Nieves, MD

  • Pediatrics Physician
  • Fajardo, PR
National Provider Identifier
1740352640
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4710 Issued in PR
Practice address
55 Calle del Carmen W
Fajardo, PR 00738-4717
Phone
(787) 860-3558
Fax
(787) 860-7066
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4710 PR Primary

Addresses

Primary practice location

55 Calle del Carmen W
Fajardo, PR 00738-4717

Mailing address

55 Calle del Carmen W
Fajardo, PR 00738-4717
Phone (787) 860-3558

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4710PRMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Continuum Mental Care Corp PastSince Jun 16, 2006 Accepting new patients
Continuum Mental Care Corp Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1740352640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CALLE DEL CARMEN W",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007384717",
            "telephone_number": "787-860-3558",
            "fax_number": "787-860-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CALLE DEL CARMEN W",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007384717",
            "telephone_number": "787-860-3558",
            "fax_number": "787-860-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTANEZ NIEVES",
        "first_name": "AGAPITO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "4710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fajardo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.