Individual provider Active NPI

Pablo Andres Fontanet Sanchez, MD

  • General Practice Physician
  • Carolina, PR
National Provider Identifier
1780176768
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
21993 Issued in PR
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

Updated by the provider on Oct 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
21993PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medicina Primaria Avanzada PSC General Practice CurrentSince Oct 19, 2020 Accepting new patients
JLJ Medical LLC PastSince Mar 5, 2023 Accepting new patients
MPM LLC PastSince Feb 1, 2023 Accepting new patients
Centro Pediatrico Country Club PastSince Oct 19, 2020 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.

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

Verify at the official NPI Registry.