Active NPI
Pablo Andres Fontanet Sanchez, MD
- General Practice Physician
- Carolina, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 21993
- Practice address
- Go7 Ave Roberto Sanchez Vilella
Carolina, PR 00982-2678 - Phone
- (787) 633-8153
- NPI assigned
- Jun 5, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 14698 | PR | |
| General Practice Physician | 208D00000X | 21993 | PR | Primary |
Addresses
Primary practice location
Go7 Ave Roberto Sanchez Vilella
Carolina, PR 00982-2678
Mailing address
Go7 Ave Roberto Sanchez Vilella
Carolina, PR 00982-2678
Phone (787) 633-8153
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201113000692 | PR | Practitioner - General Practice | 1658781091 | Practice locations: Carolina, PR |
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Go7 Ave Roberto Sanchez Vilella
Carolina, PR 00982-2678
Phone (787) 633-8153
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21993 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medicina Primaria Avanzada PSC | General Practice | Current | Accepting new patients |
| JLJ Medical LLC | Past | Accepting new patients | |
| MPM LLC | Past | Accepting new patients | |
| Centro Pediatrico Country Club | Past | Accepting new patients |
Locations
GO7 Ave Roberto Sanchez Vilella
Carolina, PR 00982
Phone (787) 633-8153
GO6 Ave Roberto Sanchez Vilella
Carolina, PR 00982
Phone (787) 776-3145
GO6 Ave Roberto Sanchez Vilella
#B
Carolina, PR 00982
Phone (623) 810-4052
Organizations & group practices 4
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.
-
- General Practice Physician
- Carolina, PR
- NPI 1467382739
-
- Medical Specialty Clinic/Center
- Carolina, PR
- NPI 1841320082
-
- Pain Medicine (Anesthesiology) Physician
- Carolina, PR
- NPI 1114626934
-
- Obstetrics & Gynecology Physician
- San Juan, PR
- NPI 1235836487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602720000000",
"number": "1780176768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "GO7 AVE ROBERTO SANCHEZ VILELLA",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009822678",
"telephone_number": "787-633-8153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "GO7 AVE ROBERTO SANCHEZ VILELLA",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009822678",
"telephone_number": "787-633-8153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONTANET SANCHEZ",
"first_name": "PABLO",
"middle_name": "ANDRES",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-05",
"last_updated": "2020-10-15",
"certification_date": "2020-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "14698",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "21993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.