Individual provider Active NPI

Juan Gerardo Almodovar Fabregas, MD

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1801182092
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
19044 Issued in PR
Practice address
1462 Calle Prof Augusto Rodriguez
San Juan, PR 00909
Phone
(787) 641-1616
NPI assigned
Jun 26, 2011
Last updated
Oct 22, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 19044 PR Primary

Addresses

Primary practice location

1462 Calle Prof Augusto Rodriguez
San Juan, PR 00909

Mailing address

PO Box 19617
San Juan, PR 00910-1617
Phone (787) 685-8649

Other practice location 1

Calle Asia 1456
San Juan, PR 00909
Phone (787) 641-1616

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
I20190321001109 PR Practitioner - General Practice 5193065571 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19044PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medflow LLC General Practice Current Accepting new patients
Centro Medico del Turabo Inc General Practice CurrentSince Dec 17, 2018 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Dec 17, 2018 Accepting new patients

Locations

70 Calle Santa Cruz
Bayamon, PR 00961
Phone (787) 620-1639

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1309046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1801182092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19617",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009101617",
            "telephone_number": "787-685-8649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1462 CALLE PROF AUGUSTO RODRIGUEZ",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00909",
            "telephone_number": "787-641-1616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Calle Asia 1456",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "00909",
            "country_code": "US",
            "telephone_number": "787-641-1616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALMODOVAR FABREGAS",
        "first_name": "JUAN",
        "middle_name": "GERARDO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-26",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "19044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.