Individual provider Active NPI

Ramon O. Fortuno-Ramirez, M.D.

  • Forensic Psychiatry Physician
  • San Juan, PR
National Provider Identifier
1801969639
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic Psychiatry PhysicianTaxonomy code 2084F0202X
License
009297 Issued in PR
Practice address
1866 Calle San Joaquin
San Juan, PR 00926-5337
Phone
(787) 756-5604
Fax
(787) 756-7363
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychiatry Physician 2084F0202X 009297 PR Primary

Addresses

Primary practice location

1866 Calle San Joaquin
San Juan, PR 00926-5337

Mailing address

2000 Carr. 8177
Suite 26 Pmb358
Guaynabo, PR 00966-3762
Phone (939) 644-5718

Other identifiers 3

IdentifierTypeStateIssuer
BPA1025-11-20046OtherPRODAR SAN JUAN HHRS
FO81140OtherPRTRIPLE-S HEALTH INS.
032071255OtherPRD-U-N-S

Other names 1

  • Ramon O. Fortuno Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20180301001896 FL Practitioner - Psychiatry 6002177318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Puerto Rico School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carrousel Therapy Center CorporationGroup PAC ID 3173893385, 5 clinicians

Practice addresses (Care Compare)

3201 Budinger Ave
Saint Cloud, FL 34769-7203
Phone (407) 910-2941

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
009297PRMDForensic Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carrousel Therapy Center Corporation Forensic Psychiatry CurrentSince Jan 1, 2018 Accepting new patients
Mindful Integrated Medicine LLC Past Accepting new patients

Locations

1906 N John Young Pkwy
Kissimmee, FL 34741
Phone (407) 887-5505

3201 Budinger Ave
Saint Cloud, FL 34769
Phone (407) 498-4079

Networks

  • Freedom Health HMO Network

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487548800000",
    "number": "1801969639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 CARR. 8177",
            "address_2": "SUITE 26 PMB358",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009663762",
            "telephone_number": "939-644-5718",
            "fax_number": "787-756-7363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1866 CALLE SAN JOAQUIN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265337",
            "telephone_number": "787-756-5604",
            "fax_number": "787-756-7363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTUNO-RAMIREZ",
        "first_name": "RAMON",
        "middle_name": "O.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2017-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "PR",
            "license": "009297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ODAR SAN JUAN HHRS",
            "identifier": "BPA1025-11-20046",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE-S HEALTH INS.",
            "identifier": "FO81140",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "D-U-N-S",
            "identifier": "032071255",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAMON",
            "last_name": "FORTUNO",
            "middle_name": "O.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.