Ivelisse Fontanez, MSN

Primary specialty

Gerontology Registered NurseTaxonomy code 163WG0600X

License

31455 Issued in PR

Practice address

Calle 5 D-19 Estancias del Madrigal
Rio Grande, PR 00745

Phone

(787) 596-5144

NPI assigned

Nov 17, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing

State licenses

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289952000000",
    "number": "1750682183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3382",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "007453382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 5 D-19 ESTANCIAS DEL MADRIGAL",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "00745",
            "telephone_number": "787-596-5144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTANEZ",
        "first_name": "IVELISSE",
        "credential": "MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-17",
        "last_updated": "2010-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "PR",
            "license": "31455",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "PR",
            "license": "31455",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanesa Damaris Figueroa
• Rosemarie Fischbach, D.M.D.
• Angel Enrique Flores Lopez, RRT,PT
• Glorimar Flores, MS-SLP, RD, LND
• Denisse Fontanez, M.S., CCC-SLP
• Xionell Forty Galvez
• Yashira B Forty Rodriguez, MSW
• Brendy I Franco, MSW
• Lilliana Franco, RN
• Ruth Mareva Fred Jimenez, MD

• Gerontology Registered Nurse in Rio Grande, PR
• Providers in Rio Grande, PR by specialty
• Gerontology Registered Nurse in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; 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.